OrganizationActive
Southern Pain Institute P C
NPI 1174836845 · Community/Retail Pharmacy · Conyers, GA
Southern Pain Institute P C is a Community/Retail Pharmacy organization in Conyers, GA (NPI 1174836845).
Provider details
- NPI number
- 1174836845
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lynn Clavo, Pic(770) 632-3730
- License
- PHRE009658 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1501 Milstead Rd Ne Ste 140
Conyers, GA 30012-3849
Phone: (770) 632-3730
Fax: (770) 632-3731
Street-level locationGet directions
Mailing address
1975 Highway 54 W
Peachtree City, GA 30269-4794
Other names (DBA / former)
- Doing business as
- Southern Pain Institute
Registry dates
- Enumerated
- 2010-07-22
- Last updated
- 2015-02-24
Frequently asked questions
- What is Southern Pain Institute P C's NPI number?
- Southern Pain Institute P C's National Provider Identifier (NPI) is 1174836845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Pain Institute P C?
- Southern Pain Institute P C is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Southern Pain Institute P C located?
- Southern Pain Institute P C's practice location on file with NPPES is 1501 Milstead Rd Ne Ste 140, Conyers, GA 30012-3849.
- What is Southern Pain Institute P C's phone number?
- The practice phone number listed in the NPPES registry for Southern Pain Institute P C is (770) 632-3730.
- Who is the authorized official for Southern Pain Institute P C?
- The authorized official listed on Southern Pain Institute P C's NPPES record is Lynn Clavo, Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Pain Institute P C's NPI active?
- Yes — Southern Pain Institute P C's NPI (1174836845) is active in the NPPES registry as of the last update on 2015-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.