Skip Navigation

Skip Main Content

Request An Appointment

Southern Pain and Spine

Choose a Location

Athens

1500 Oglethorpe Ave, 500B, Athens, GA 30606

Fayetteville

1233 Highway 54 West, Suite 200, Fayetteville, GA 30214

Gainesville

601 Broad Street SE, Suite B, Gainesville, GA 30501

Jasper

1101 Old Philadelphia Road, Suite G100, Jasper, GA 30143

Newnan

3231 Highway 34 E, Suite C, Newnan, GA 30265

Atlanta - The Macquarium Building

1800 Peachtree St NW, Suite 750, Atlanta, GA 30309

Sandy Springs

1150 Hammond Drive, Bldg E, Suite LL40, Atlanta, GA 30328

Stockbridge

3579 Highway 138 Southeast, Suite 204, Stockbridge, GA 30281

Choose a Provider

First Available

Ankur Patel, DO, RPH

Anesthesiology

Jordan Tate, MD, MPH

Sushanth Boda, DO

Anesthesiology

Mayson Callaway, MD

Pain Medicine

Emily Cummins, APRN-BC

Nurse Practitioner

Rodrigo Duralde, MD

Jignesh Gandhi, MD

Cameron A. Griffin, FNP-C

Evesha Kenlyn, MD, MPH

Tonya Ogletree, PA-C

Niki Patel, MSN, APRN, FNP-C

Vishalee Patel, MS, PAC

Nathaniel Pleasant, MD

Stephanie Farr Stagner, NP

Margaret Riso, MD

Anesthesiology

Cameron Tolbert, DNP, ACNPC-AG

Nurse Practitioner

Lexi Fraser-Tinnian

Patient Details

Patient First Name

Patient Last Name

Email

Phone

Date of Birth

Insurance Carrier

Reason For Request

Additional Details

Preferred Days of the Week

Please select at least one day

Any Time

Morning

Mid Morning

Afternoon

Late Afternoon

Evening

This form is for new patient appointment requests only. If you are an existing patient, please contact your local office directly or log in to our Athena patient portal to schedule or confirm appointments, or to message your provider. Please note: For security reasons, we cannot respond to clinical or medication-related questions or requests submitted through this website.

Select Referral Source

Search(Google, Bing, etc)

Social Media

Referral

Word of Mouth

Friends / Family

Online Advertisement

Television

Radio

Other

I accept the Privacy Policy and Terms of Use.

I would like to receive text communications from Southern Pain and Spine via Treatspace, such as appointment confirmations, appointment reminders, and feedback requests. Message & Data rates may apply.

If you have an emergency, Call 911

Experiencing Issues With This Form? Contact Support