P Praxis·MD
● Active Type 2 · Organization

Southern Pain Institute, Pc

Pain Medicine·Peachtree City, GA· NPI 1336232958 · Enumerated 2006 · 19 years on NPI
Southern Pain Institute, Pc is 1 of 315 pain medicine organizations in Georgia.
NPI age
19 years
Enumerated 2006-10-02
Primary specialty
Pain Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clavo
President
Last NPPES update
2015-07-27
Source: monthly bulk 2026-05

How this organization compares

Across 315 active pain medicine providers in Georgia.

NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1975 Highway 54 W, Suite 100
Peachtree City, GA 302694794
📞 7706323730fax 7706323731
Mailing address
1975 Highway 54 W, Suite 100
Peachtree City, GA 302694794
📞 7706323730fax 7706323731

Authorized official

Anthony Thaddeus Clavo, M.D.
President
📞 7706323730

Individual providers at this organization

10 individual providers on file at this primary practice address.

Specialties

  • Pain Medicine Primary
    Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and...
    GA license #045425 taxonomy 208VP0014X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Southern Pain & Diagnostics Institute
    Type code 5 recorded 2006-10-02

Practice context

Multi-provider organization. 10 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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