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

Dr. Sushanth Raghu Boda, DO

Individual provider Interventional Pain Medicine Physician · NPI 1780114975

Dr. Sushanth Raghu Boda, DO is a Pain Management in Newnan, Georgia. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2017, 9 years ago. Practices with Southern Pain and Spine Associates, LLC, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia, Illinois and Massachusetts.

Years since qualifying
9
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
GA, IL, MA
In the registry since
2017
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3231 Highway 34 E Ste C
Newnan, GA 30265-6407
Phone: (678) 971-4167
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 92204 (GA)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 92204 (GA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 271781 (MA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 125071636 (IL)

Record details

NPI number1780114975
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 19, 2017
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address3231 Highway 34 E Ste C, Newnan, GA 30265-6407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2017 (9 years in practice)
Group practice Southern Pain And Spine Associates, Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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