P Praxis·MD
● Active Type 2 · Organization

Southern Pain Institute Pc

Pain Medicine·Conyers, GA· NPI 1609913318 · Enumerated 2007 · 19 years on NPI
Southern Pain Institute Pc is 1 of 315 pain medicine organizations in Georgia.
NPI age
19 years
Enumerated 2007-01-31
Primary specialty
Pain Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clavo
Ceo
Last NPPES update
2015-07-30
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 · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1501 Milstead Rd Ne, Suite 140
Conyers, GA 300123838
📞 7706323730fax 7706323731
Mailing address
1975 Highway 54 W, Suite 100
Peachtree City, GA 302694794
📞 7706323730fax 7706323731

Authorized official

Anthony T Clavo, MD
Ceo
📞 7706323730

Individual providers at this organization

5 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

Practice context

Multi-provider organization. 5 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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