Southeast Spine Center, LLC
NPI 1295008712 · Physical Medicine & Rehabilitation Physician · Baton Rouge, LA
Southeast Spine Center, LLC is a Physical Medicine & Rehabilitation Physician organization in Baton Rouge, LA (NPI 1295008712).
Provider details
- NPI number
- 1295008712
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- George Ivanicky, Owner/President(225) 753-6333
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2012-02-14
- Last updated
- 2012-02-14
Frequently asked questions
- What is Southeast Spine Center, LLC's NPI number?
- Southeast Spine Center, LLC's National Provider Identifier (NPI) is 1295008712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Spine Center, LLC?
- Southeast Spine Center, LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Spine Center, LLC located?
- Southeast Spine Center, LLC's practice location on file with NPPES is 17431 Jefferson Hwy, Baton Rouge, LA 70817-7484.
- What is Southeast Spine Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Spine Center, LLC is (225) 753-6333.
- Who is the authorized official for Southeast Spine Center, LLC?
- The authorized official listed on Southeast Spine Center, LLC's NPPES record is George Ivanicky, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Spine Center, LLC's NPI active?
- Yes — Southeast Spine Center, LLC's NPI (1295008712) is active in the NPPES registry as of the last update on 2012-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.