SOUTHERN PAIN INSTITUTE P C


Address: 1975 Highway 54 W Ste 100, Fayetteville, GA 30214-4794
Phone: 7706315158

SOUTHERN PAIN INSTITUTE P C (NPI# 1750665584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750665584
Entity Type Organization
Organization Name SOUTHERN PAIN INSTITUTE P C
Other Organization Name PARISH PHARMACY
Practice Address 1975 Highway 54 W Ste 100
Fayetteville
GA 30214-4794
Mailing Address 1975 Highway 54 W
Suite 100
Fayetteville
GA 30214-4794
Practice Telephone 7706315158
Practice Fax Number 7706323731
Mailing Telephone 7706315158
Mailing Fax Number 4045917959
Enumeration Date 2011-09-28
Last Update Date 2013-03-20
Authorized Official Name LYNN CLAVO (CHIEF PHARMACIST)
Authorized Official Telephone 7703133380
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
Suppliers
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHRE009784 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 1161784 01

Other Provider/Organization Names

Other Name Type Code
Parish Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174836845 Southern Pain Institute P C Pharmacy 1501 Milstead Rd Ne Ste 140, Conyers, GA 30012-3849 2010-07-22

Office Location

Street Address 1975 HIGHWAY 54 W STE 100
City FAYETTEVILLE
State GA
Zip Code 30214-4794

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
Find all providers in zip 30214

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639705957 Cape Fear Discount Drug - Ramsey, LLC Pharmacy 4417 Ramsey St, Fayetteville, NC 28311-2134 2020-03-18
1003391491 Platinum Pharmacy Pharmacy 935 Lanier Ave W Ste 1008, Fayetteville, GA 30214-7434 2018-10-01
1649635459 Walmart Inc. Pharmacy 660 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 2015-12-21
1003203878 R & R Medical Inc Pharmacy 2127 N Center St, Suite 1, Fayetteville, AR 72701-9449 2015-04-20
1598171910 Express Discount Pharmacy LLC Pharmacy 1905 Skibo Rd Ste 104, Fayetteville, NC 28314-0261 2014-07-07
1760803035 Walgreen Co Pharmacy 4015 W Wedington Dr, Fayetteville, AR 72704-5733 2014-01-03
1740535715 Harris Teeter, LLC Pharmacy 3050 Traemoor Village Dr, Fayetteville, NC 28306 2012-07-17
1093013591 Nugen Pharmacy LLC Pharmacy 101 Yorktown Dr Ste 102, Fayetteville, GA 30214-1568 2011-03-08
1477880185 Carlie Cs of Cliffdale LLC Pharmacy 690 S Reilly Rd, Fayetteville, NC 28314-5626 2009-11-17
1922246818 Calhoun Family Pharmacy Inc Pharmacy 4417 Ramsey Street, Fayetteville, NC 28311 2009-01-30
Find all providers in FAYETTEVILLE

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 30214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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