Southern Interventional Pain Center LLC
NPI 1407315948ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Tallahassee, FL
Pain Medicine, Interventional Pain Medicine in Tallahassee, Florida, registered in NPPES in March 2019, part of Southern Interventional Pain Center LLC. The authorized official on file is Maximilian Shahryar Shokat, DO, Managing Member.
Overview
| NPI | 1407315948 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southern Interventional Pain Center LLC |
| NPI issued | Mar 14, 2019 |
| Last updated in NPPES | Jan 31, 2020 |
| Certified by provider | Jan 31, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — | — |
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 |
|---|
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