Southern Comfort Pain & Wellness
NPI 1720728454 · Pain Medicine (Anesthesiology) Physician · Loganville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Comfort Pain & Wellness is a Pain Medicine (Anesthesiology) Physician organization in Loganville, GA (NPI 1720728454).
Provider details
- NPI number
- 1720728454
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Kissel, Owner(770) 633-5513
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-03-30
- Last updated
- 2022-05-21
- Certified
- 2022-05-21
Frequently asked questions
- What is Southern Comfort Pain & Wellness's NPI number?
- Southern Comfort Pain & Wellness's National Provider Identifier (NPI) is 1720728454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Comfort Pain & Wellness?
- Southern Comfort Pain & Wellness is classified in the NPPES registry as Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Comfort Pain & Wellness located?
- Southern Comfort Pain & Wellness's practice location on file with NPPES is 151 Lee Byrd Rd, Loganville, GA 30052-2310.
- What is Southern Comfort Pain & Wellness's phone number?
- The practice phone number listed in the NPPES registry for Southern Comfort Pain & Wellness is (678) 587-5993.
- Does Southern Comfort Pain & Wellness accept Medicare?
- Southern Comfort Pain & Wellness 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 Comfort Pain & Wellness?
- The authorized official listed on Southern Comfort Pain & Wellness's NPPES record is Michael Kissel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Comfort Pain & Wellness's NPI active?
- Yes — Southern Comfort Pain & Wellness's NPI (1720728454) is active in the NPPES registry as of the last update on 2022-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.