P Praxis·MD
● Active Type 2 · Organization

Southern Crescent Pain Management Llc

Pain Medicine·Stockbridge, GA· NPI 1831374982 · Enumerated 2008 · 18 years on NPI
Southern Crescent Pain Management Llc is 1 of 315 pain medicine organizations in Georgia.
NPI age
18 years
Enumerated 2008-01-08
Primary specialty
Pain Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ogunyemi
Medical Director
Last NPPES update
2008-01-08
Source: monthly bulk 2026-05

How this organization compares

Across 315 active pain medicine providers in Georgia.

NPI age
18 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-01Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
147 N Park Trl
Stockbridge, GA 302817373
📞 6782841232fax 6782841296
Mailing address
147 N Park Trl
Stockbridge, GA 302817373
📞 6782841232fax 6782841296

Authorized official

Olufemi Ayotunde Ogunyemi, MD
Medical Director
📞 6782841232

Individual providers at this organization

1 individual provider 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 #045566 taxonomy 208VP0014X

Practice context

Multi-provider organization. 1 individual provider 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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