OrganizationActive
Interventional Spine and Pain Management Center, PC
NPI 1154780914 · Interventional Pain Medicine Physician · Decatur, GA
Provider details
- NPI number
- 1154780914
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Victoria Beck, Cfo(404) 920-4950
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2675 N Decatur Rd
Suite 303
Decatur, GA 30033-6131
Phone: (770) 929-9033
Street-level locationGet directions
Mailing address
3390 Peachtree Rd Ne
Atlanta, GA 30326-1157
Registry dates
- Enumerated
- 2016-02-22
- Last updated
- 2016-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.