CENTER FOR SPINE INTERVENTIONS, PC – Interventional Pain Medicine Physician, NPI 1437407525
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CENTER FOR SPINE INTERVENTIONS, PC
4586 Timber Ridge Dr Ste 140
Douglasville, GA 301357513
Phone: (678) 813-2741
Type: Location
4450 Calibre Xing NW Ste 1118
Acworth, GA 301014104
Phone: (678) 813-2741
Type: Location
2713 CHARLES HARDY PKWY STE 222
DALLAS, GA 301579470
Phone: (678) 813-2741
Fax: (678) 813-2740
Type: Location
2713 CHARLES HARDY PKWY STE 212
DALLAS, GA 301579445
Phone: (678) 813-2741
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (192 days ago).
Enrollment records
2
Earliest due date
2025-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20120925000361 | O | Clinic/Group Practice | GA | TBD |
| O20131104000607 | O | Physician - Interventional Pain Management | GA | 2025-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 30135)
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