Southern Interventional Pain Center LLC
NPI 1306225479 · Interventional Pain Medicine Physician · Thomasville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Interventional Pain Center LLC is a Interventional Pain Medicine Physician organization in Thomasville, GA (NPI 1306225479).
Provider details
- NPI number
- 1306225479
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maximilian Shokat, Medical Director(229) 226-2234
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 619 Sw Baya Dr Ste 102Lake City, FL 32025-4204Phone: (386) 361-3400Fax: (855) 313-1262
- 2056 Centre Pointe LnTallahassee, FL 32308-4300Phone: (850) 404-9400Fax: (855) 313-1262
Registry dates
- Enumerated
- 2015-05-22
- Last updated
- 2020-01-31
- Certified
- 2020-01-31
Frequently asked questions
- What is Southern Interventional Pain Center LLC's NPI number?
- Southern Interventional Pain Center LLC's National Provider Identifier (NPI) is 1306225479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Interventional Pain Center LLC?
- Southern Interventional Pain Center LLC is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Interventional Pain Center LLC located?
- Southern Interventional Pain Center LLC's practice location on file with NPPES is 615 S Hansell St, Thomasville, GA 31792-5556.
- What is Southern Interventional Pain Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Interventional Pain Center LLC is (229) 226-2234.
- Does Southern Interventional Pain Center LLC accept Medicare?
- Southern Interventional Pain Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Interventional Pain Center LLC?
- The authorized official listed on Southern Interventional Pain Center LLC's NPPES record is Maximilian Shokat, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Interventional Pain Center LLC's NPI active?
- Yes — Southern Interventional Pain Center LLC's NPI (1306225479) is active in the NPPES registry as of the last update on 2020-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.