Southside Medical & Physical Therapy, LLC
NPI 1063628675 · Interventional Pain Medicine Physician · Fayetteville, GA
Southside Medical & Physical Therapy, LLC is a Interventional Pain Medicine Physician organization in Fayetteville, GA (NPI 1063628675).
Provider details
- NPI number
- 1063628675
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Steven Lobel, Medical Director(866) 476-8913
- License
- 054590 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2007-10-29
Frequently asked questions
- What is Southside Medical & Physical Therapy, LLC's NPI number?
- Southside Medical & Physical Therapy, LLC's National Provider Identifier (NPI) is 1063628675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Medical & Physical Therapy, LLC?
- Southside Medical & Physical Therapy, LLC is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Medical & Physical Therapy, LLC located?
- Southside Medical & Physical Therapy, LLC's practice location on file with NPPES is 1415 Highway 85 N, Fayetteville, GA 30214-4035.
- What is Southside Medical & Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southside Medical & Physical Therapy, LLC is (866) 476-8913.
- Who is the authorized official for Southside Medical & Physical Therapy, LLC?
- The authorized official listed on Southside Medical & Physical Therapy, LLC's NPPES record is Steven Lobel, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Medical & Physical Therapy, LLC's NPI active?
- Yes — Southside Medical & Physical Therapy, LLC's NPI (1063628675) is active in the NPPES registry as of the last update on 2007-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.