Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Pain Institute, PC

Organization Specialist · NPI 1639584378

Southern Pain Institute, PC provides Specialist services in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3886 Princeton Lakes Way SW Ste 240
Atlanta, GA 30331-5511 Not confirmed with CMS for 12 years — call before visiting
Phone: (770) 632-3730
Fax: (770) 632-3731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 045425 (GA)

Record details

NPI number1639584378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Clavo — President/Owner · (770) 632-3730
Other names Southern Spine & Pain Institute
NPI enumeratedJune 20, 2014
Last updated in NPPESJune 20, 2014
Mailing addressPo Box 740209, Lockbox Dept 40257, Atlanta, GA 30374-0209

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