Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Spine & Pain Interventions LLC - Jasper

Organization Addiction Medicine (Anesthesiology) Physician · NPI 1992292973

Advanced Spine & Pain Interventions LLC - Jasper is an Addiction Medicine (Anesthesiology) Physician in Jasper, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

49 Gordon Rd Ste 102
Jasper, GA 30143-1017
Phone: (470) 299-1998
Fax: (470) 299-1898
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 059463 (GA)
Addiction Medicine (Anesthesiology) Physician Taxonomy 207LA0401X · Licence 059463 (GA)

Record details

NPI number1992292973
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdvanced Spine & Pain Interventions LLC
Authorized official Woodley Mardy-Davis — Medical Director · (470) 299-1998
NPI enumeratedApril 16, 2018
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address12389 Crabapple Rd, Alpharetta, GA 30004-6328