OrganizationActiveAccepts Medicare

Southern Pain and Spine Associates LLC

NPI 1336744770 · Interventional Pain Medicine Physician · Gainesville, GA

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1336744770
Entity type: Organization
Primary specialty: Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Ankur Patel, Ceo/ Owner Partner(678) 971-4167

Specialties & taxonomies

Interventional Pain Medicine PhysicianPrimary208VP0014X
Allopathic & Osteopathic Physicians
Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

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
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
8 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

601 Broad St Se Ste B

Gainesville, GA 30501-3718

Phone: (678) 971-4167

Fax: (833) 989-2501

Street-level locationGet directions

More GA providers

Mailing address

1233 Highway 54 W Ste 200

Fayetteville, GA 30214-4542

Additional practice locations (7)

1500 Oglethorpe Ave Bldg 500 Ste B
Athens, GA 30606-2184
Phone: (678) 971-4167
Fax: (678) 971-4168
1150 Hammond Drive
Bldg E, Suite 40
Atlanta, GA 30328
Phone: (678) 971-4167
Fax: (833) 972-4825
1800 Peachtree St Nw Ste 750
Atlanta, GA 30309-2530
Phone: (678) 971-4167
Fax: (833) 428-2599
1233 Highway 54 W Ste 200
Fayetteville, GA 30214-4542
Phone: (678) 971-4167
Fax: (833) 428-2629
1101 Old Philadelphia Rd Ste G100
Jasper, GA 30143-4044
Phone: (678) 971-4167
Fax: (706) 253-7060
3231 Hwy 34e Ste C
Newnan, GA 30265
Phone: (678) 971-4167
Fax: (833) 989-2501
3579 Highway 138 Se Ste 204
Stockbridge, GA 30281-6807
Phone: (678) 971-4167
Fax: (833) 428-2634

Enumerated: 2020-12-03
Last updated: 2026-02-20
Certified: 2026-02-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.