Organization
SOUTHERN PAIN AND SPINE ASSOCIATES, LLC
Active
Organization
SOUTHERN PAIN AND SPINE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE EVANGELISTA (CREDENTIALING MANAGER)
(404) 408-2144
Entity
Organization
Contact information
Practice address
1150 HAMMOND DR STE 50, ATLANTA, GA 30328-7500
(678) 971-4167
(833) 989-2501
Mailing address
1233 HIGHWAY 54 W STE 207, FAYETTEVILLE, GA 30214-4643
(678) 971-4167
(833) 989-2501
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
01/05/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up