Advanced Spine & Pain Interventions LLC - Jasper
NPI 1992292973ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Jasper, GA
Pain Medicine, Interventional Pain Medicine in Jasper, Georgia, registered in NPPES in April 2018, part of Advanced Spine & Pain Interventions LLC. The authorized official on file is Woodley Bernadette Mardy-Davis, Medical Director.
Overview
| NPI | 1992292973 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advanced Spine & Pain Interventions LLC |
| NPI issued | Apr 16, 2018 |
| Last updated in NPPES | May 18, 2026 |
| Certified by provider | May 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | 059463 | GA |
| Anesthesiology, Addiction Medicine | 207LA0401X | 059463 | 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 |
|---|
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