Siddardth Umapathy, DO

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

101656 Issued in GA

Practice address

300 E Hospital Road
Pain Medicine Clinic
Fort Eisenhower, GA 30905

Phone

(706) 787-3286

NPI assigned

Apr 4, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain Management

Education

Philadelphia College of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Spine and Pain Management Center PCGroup PAC ID 2769483031, 51 clinicians

Mulkey Anesthesiology Associates, PCGroup PAC ID 6406035583, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Interventional Spine and Pain Management Center, PC

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1518012004
  Medicare reassignment Care Compare group NPD
• Mulkey Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Austell, GA
  • NPI 1417288069
  Medicare reassignment Care Compare group
• Augusta Pain Consultants, PC

  • Interventional Pain Medicine Physician
  • Augusta, GA
  • NPI 1609098292
  Medicare reassignment NPD
• Greater Anesthesia Services LLC

  • Specialist
  • Conyers, GA
  • NPI 1518128289
  Medicare reassignment NPD (past)
• The Interventional Spine and Pain Management Center PC

  • Interventional Pain Medicine Physician
  • Cumming, GA
  • NPI 1447963608
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1982166278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HOSPITAL ROAD",
            "address_2": "PAIN MEDICINE CLINIC",
            "city": "FORT EISENHOWER",
            "state": "GA",
            "postal_code": "30905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HOSPITAL ROAD",
            "address_2": "PAIN MEDICINE CLINIC",
            "city": "FORT EISENHOWER",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-3286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 Interstate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309095626",
            "country_code": "US",
            "telephone_number": "706-738-7246",
            "fax_number": "706-738-7248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMAPATHY",
        "first_name": "SIDDARDTH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0102206225",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "101656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dafiney Thomas
• Peter Thompson, MD
• Avery Turner
• Cornelius Regina Tyler, FNP
• Dane William Tyler, DO
• Mechelle Miller Vazquez, M.D.
• Priya Venugopal, M.D.
• Ana Maria Vlasic, RN CLINICAL CASE MGR
• Heather Waite, LCSW
• Angie M. Walker, LCSW

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Fort Eisenhower, GA
• Providers in Fort Eisenhower, GA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.