Southside Medical & Physical Therapy, LLC
NPI 1063628675ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Fayetteville, GA
Pain Medicine, Interventional Pain Medicine in Fayetteville, Georgia, registered in NPPES in May 2007. The authorized official on file is Steven Lobel, Medical Director.
Overview
| NPI | 1063628675 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2007 |
| Last updated in NPPES | Oct 29, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | 054590 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pain Medicine, Interventional Pain Medicine providers in Fayetteville
- 1578193355
- 1700029402
- 1750671400
All Pain Medicine, Interventional Pain Medicine providers in Georgia →