SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC – Interventional Pain Medicine Physician, NPI 1063628675

SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC is a healthcare provider. based in Fayetteville, Georgia. specializing in Interventional Pain Medicine Physician. The organization holds a License No. 054590 (GA). The NPI Number for SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC is 1063628675

Main info

Organization
Name
SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC
NPI
1063628675
Phone
(866) 476-8913
Address
1415 HIGHWAY 85 N
Authorized Official
DR. STEVEN LOBEL MEDICAL DIRECTOR
Enumeration Date
14 May 2007
Last Update Date
29 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC

  • N, South Hill Avenue, Oakwood Place, Fayetteville, Washington County, Arkansas, 72701, United States

    SUITE 310-314

    FAYETTEVILLE, GA 302144035

    Phone: (866) 476-8913

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30214)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC by NPI?
Use NPI 1063628675 when you need to reference SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC in forms, claims, or directories.
Is SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC currently active in the NPI registry?
CMS-published data lists SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC as an active registrant.
Can you summarize SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC's specialty in plain language?
Clinically, the directory lists SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC with Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC?
The snapshot lists Fayetteville, Georgia for SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC; download NPPES for the complete set.
Is SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC a real provider?
This page reflects official NPPES data for NPI 1063628675. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

PAIN CONSULTANTS OF ATLANTA LLC

Interventional Pain Medicine Physician
1233 HIGHWAY 54 W STE 207
NPI: 1942250865

DR. JIGNESH N GANDHI (M.D.)

Interventional Pain Medicine Physician
775 Poplar Rd Ste 200
NPI: 1225088198

DR. RODRIGO A DURALDE (M.D.)

Interventional Pain Medicine Physician
1233 Highway 54 W Ste 205
NPI: 1265484208

DR. IDI ALLEN (M.D.)

Interventional Pain Medicine Physician
101 YORKTOWN DR STE 211
NPI: 1700029402

ZWADE J MARSHALL (M.D.)

Interventional Pain Medicine Physician
3390 PEACHTREE RD NE
NPI: 1750671400

REGENERATIVE SPINE AND PAIN SPECIALISTS

Interventional Pain Medicine Physician
918 PEACHTREE BATTLE CIR NW
NPI: 1578193355

SOUTHERN PAIN AND SPINE ASSOCIATES LLC

Interventional Pain Medicine Physician
1500 Oglethorpe Ave Bldg 500 Ste B
NPI: 1336744770

SOUTHERN PAIN AND SPINE ASSOCIATES, LLC

Durable Medical Equipment & Medical Supplies
1233 HIGHWAY 54 W STE 207
NPI: 1548059835