Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southern Pain Institute P C

Community/Retail Pharmacy in Conyers, GA · enumerated 2010 · authorized official Lynn Clavo, Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174836845

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Southern Pain Institute P C

Other name <Unavail>

Practice address 1501 Milstead Rd Ne Ste 140, Conyers, GA, 30012

Phone (770) 632-3730

Fax (770) 632-3731

Enumeration date Jul 22, 2010

Last updated in NPPES Feb 24, 2015

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PHRE009658 (GA) Primary

Authorized official

Name Lynn Clavo

Title Pic

Phone (770) 632-3730

Other identifiers

Identifier	Type	State	Issuer
003100329A	Medicaid	GA	-
2125516	Other	-	PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-02-24. Verify at npiregistry.cms.hhs.gov.

Where is Southern Pain Institute P C located?

The practice location on file with NPPES is in Conyers, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-02-24.