Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Southern Pain and Spine Associates, LLC

Organization Interventional Pain Medicine Physician · NPI 1548059835

Southern Pain and Spine Associates, LLC is an Interventional Pain Medicine Physician in Atlanta, Georgia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1150 Hammond Dr Ste 50
Atlanta, GA 30328-7500
Phone: (678) 971-4167
Fax: (833) 989-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1548059835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Josephine Evangelista — Credentialing Manager · (404) 408-2144
NPI enumeratedMay 2, 2025
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address1233 Highway 54 W Ste 207, Fayetteville, GA 30214-4643

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