OrganizationActive
Southern Pain and Spine Associates, LLC
NPI 1548059835 · Durable Medical Equipment & Medical Supplies · Atlanta, GA
Provider details
- NPI number
- 1548059835
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Josephine Evangelista, Credentialing Manager(404) 408-2144
Specialties & taxonomies
Suppliers
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1150 Hammond Dr Ste 50
Atlanta, GA 30328-7500
Phone: (678) 971-4167
Fax: (833) 989-2501
Street-level locationGet directions
Mailing address
1233 Highway 54 W Ste 207
Fayetteville, GA 30214-4643
Registry dates
- Enumerated
- 2025-05-02
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.