SOUTHERN PAIN INSTITUTE PC – Interventional Pain Medicine Physician, NPI 1609913318

SOUTHERN PAIN INSTITUTE PC is a healthcare provider. based in Peachtree city, Georgia. specializing in Interventional Pain Medicine Physician. The organization holds a License No. 045425 (GA). The NPI Number for SOUTHERN PAIN INSTITUTE PC is 1609913318

Main info

Organization
Name
SOUTHERN PAIN INSTITUTE PC
NPI
1609913318
Phone
(770) 632-3730
Address
1975 HIGHWAY 54 W
Authorized Official
ANTHONY T CLAVO SR. CEO MD
Enumeration Date
31 January 2007
Last Update Date
30 July 2015
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

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Provider Addresses for SOUTHERN PAIN INSTITUTE PC

  • 1975, Highway 54 West, Smokerise Corners, Longboat, Shake Rag, Peachtree City, Fayette County, Georgia, 30269, United States

    SUITE 100

    PEACHTREE CITY, GA 302694794

    Phone: (770) 632-3730

    Fax: (770) 632-3731

    Type: Mailing

  • 1501, Milstead Road Northeast, Conyers, Rockdale County, Georgia, 30012, United States

    SUITE 140

    CONYERS, GA 300123838

    Phone: (770) 632-3730

    Fax: (770) 632-3731

    Type: Location

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.

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 30269)

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Reviews

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Frequently asked questions

Can I verify SOUTHERN PAIN INSTITUTE PC with an NPI only?
You can start verification with NPI 1609913318 for SOUTHERN PAIN INSTITUTE PC, then check state licensing separately.
Can I rely on SOUTHERN PAIN INSTITUTE PC being an active provider?
As of the registry snapshot, SOUTHERN PAIN INSTITUTE PC is marked active.
What is SOUTHERN PAIN INSTITUTE PC's primary classification?
Interventional Pain Medicine Physician is the headline specialty for SOUTHERN PAIN INSTITUTE PC here. Clinical services aligned with this taxonomy classification.
What address line appears for SOUTHERN PAIN INSTITUTE PC?
SOUTHERN PAIN INSTITUTE PC's geographic hint is Peachtree City, Georgia in our summary view.
Why does SOUTHERN PAIN INSTITUTE PC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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