OrganizationActive
Advanced Spine & Pain Interventions LLC - Jasper
NPI 1992292973 · Interventional Pain Medicine Physician · Jasper, GA
Provider details
- NPI number
- 1992292973
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advanced Spine & Pain Interventions LLC
- Organization subpart
- Yes
- Authorized official
- Woodley Mardy-Davis, Medical Director(470) 299-1998
- License
- 059463 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
49 Gordon Rd
Suite 102
Jasper, GA 30143-1017
Phone: (470) 299-1998
Fax: (470) 299-1898
Street-level locationGet directions
Mailing address
12389 Crabapple Rd
Alpharetta, GA 30004-6328
Registry dates
- Enumerated
- 2018-04-16
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.