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Interventional Spine and Pain Mangement Center, PC

NPI 1720443252ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Canton, GA

Pain Medicine, Interventional Pain Medicine in Canton, Georgia, registered in NPPES in December 2015, part of Interventional Spine and Pain Management Center, PC. The authorized official on file is Victoria Beck, Cfo.

Overview

NPI1720443252
StatusActive
Entity typeOrganization (subpart)
Parent organizationInterventional Spine and Pain Management Center, PC
NPI issuedDec 29, 2015
Last updated in NPPESMay 31, 2023
Certified by providerMay 31, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pain Medicine, Interventional Pain Medicine Primary208VP0014X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other interventional pain physicians in Canton

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