Welcome to
Orion Spine and Pain

Compassionate Care, Expert Pain Management

We specialize in comprehensive pain management and interventional treatments focused on reducing pain, restoring function, and improving quality of life.

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About Orion Spine and Pain

Welcome to Orion Spine & Pain, a modern, patient-centered practice dedicated to providing comprehensive and compassionate care for individuals suffering from chronic and acute pain. We are committed to helping patients reclaim their quality of life and find lasting relief.

At Orion spine and pain, Dr. Narayan uses a multidisciplinary approach, combining state-of-the-art diagnostics with a full spectrum of evidence-based and innovative treatments. We focus on treating the whole person—not just the pain—and collaborate closely with each patient to develop a personalized care plan tailored to their unique needs and goals. At Orion, we strive to create a supportive, respectful environment where healing and hope go hand in hand.

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Our Mission

To empower individuals to live fulfilling lives, free from the limitations of pain, through compassionate, innovative, and patient-centered care. We are dedicated to being a trusted partner in every patient's journey, providing the knowledge, tools, and support they need to manage pain effectively and improve their overall well-being.

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Our Vision

To be the leading provider of spine and pain management services in the area, recognized for our clinical excellence, cutting-edge treatments, and unwavering commitment to improving lives. We envision a community where pain is not a barrier to living vibrantly, and where patients feel truly seen, heard, and healed.

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Our Core Values
  • Compassion: We treat every patient with empathy, respect, and dignity, recognizing the emotional and physical toll of pain.
  • Excellence: We are committed to delivering the highest quality of care through continuous learning, innovation, and clinical expertise.
  • Integrity: We act with transparency, honesty, and accountability, always placing the well-being of our patients first.
  • Innovation: We embrace and apply the latest advancements in pain medicine to offer safe, effective, and cutting-edge care.
  • Collaboration: We value teamwork—within our clinic and with referring providers—believing that coordinated care leads to better outcomes.
  • Empowerment: We educate and engage our patients as active partners in their care, promoting informed decision-making and long-term wellness.

Our Services

We offer a full range of services to diagnose and treat your pain, helping you find lasting relief and get back to living your life. Our approach is to create a personalized plan that combines the latest in medical treatments with a focus on your overall well-being.

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Comprehensive Pain Management

We take a holistic approach to pain relief, combining medication, advanced procedures, and referrals to specialists like physical therapists or chiropractors. This comprehensive strategy ensures we address your pain from every angle for the most effective and lasting results.

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Joint Pain Management

Joint Injections (Shoulder, Hip, Knee)

Whether your joint pain is from an injury, arthritis, or degeneration, we can help. Our joint injections reduce inflammation and improve your range of motion, often delaying or helping you avoid surgery.

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Spinal Treatments

Neck & Low Back Pain

We specialize in treating common spinal conditions such as arthritis, sciatica, herniated discs, and spinal stenosis. Our treatments, which include injections, nerve ablations, and rehabilitation referrals, are designed to restore mobility and significantly reduce your discomfort.

Facet Joint Injections

These targeted injections deliver anti-inflammatory medication directly to the small joints in your spine, offering precise relief from pain caused by arthritis or mechanical stress.

Epidural Steroid Injections

If you're dealing with inflammation and nerve irritation from conditions like a herniated disc or spinal stenosis, these injections can help reduce inflammation and soothe irritated nerves.

Radiofrequency Ablation (RFA)

For chronic neck and back pain, RFA uses heat to disrupt pain signals from the affected nerves. This procedure offers long-term relief without the need for major surgery.

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Advanced Procedures

Spinal Cord Stimulators

For patients with chronic back, leg pain, or CRPS that hasn't responded to other treatments, spinal cord stimulators can be a game-changer. This advanced therapy blocks pain signals at their source. We offer both trials and permanent implants.

Peripheral Nerve Stimulators (PNS)

This therapy uses electrical pulses to target specific nerves outside the spine. It's an excellent option for localized nerve damage or persistent post-surgical pain.

Kyphoplasty & Vertebroplasty

If you have a spinal compression fracture, these minimally invasive procedures stabilize the fracture with bone cement. They provide immediate pain relief and prevent further collapse.

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Collaborative Care

Medication Management

We carefully prescribe and manage medications to reduce pain while minimizing side effects and the risk of dependency. Your safety is our top priority, and we ensure all treatment plans follow the latest clinical best practices.

Specialist Referrals

If your care requires additional expertise, we will connect you with trusted orthopedic surgeons, neurologists, rheumatologists, or other providers in our network to ensure you receive the most effective treatment possible.

Frequently Asked Questions

Find answers to common questions about our services, appointments, and care

What insurance do you accept?
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We currently accept Medicare, and Commercial plans from the following insurance companies: Medicare and Medicare replacement, plans, Aetna, Aetna MCR, Cigna, BCBS, BCBS MCR, UHC, UHC MC, Ambetter, Tricare Prime, Humana MCR, Self-pay and more. Please contact us and we will be happy to verify if we are in network with your insurance.

Please call our office at 678-325-1224 to schedule an appointment. We accept Medicare and most major commercial insurance plans. For patients without insurance, we offer reasonable self-pay options for non-opioid pain management, including procedures. Please note that we do not prescribe opioids for self-pay patients.

Regardless of the type of appointment, please have your valid picture ID, insurance information, and form of payment in hand. We collect all co-pays at the time of your visit and only accept credit card.

For initial visits, please also bring:
  • All medications you are currently taking in their original bottles
  • Medical records from the physician who referred you to us
  • Imaging studies (e.g. X-rays, ultrasounds, CT scans, MRIs, etc.) done prior to visiting us

For follow-up visits, please bring updated medications, medical records, and imaging studies if applicable.

We kindly ask new patients to arrive 30 minutes early to allow enough time to register in our system. Established patients, please try to arrive at least 15 minutes early.

We respect your time and strive to be mindful of your other commitments. If you need to cancel or reschedule, please provide at least 24 hours’ notice.

Appointments canceled with less notice, or missed without notice, will incur a no-show fee.

Urine drug screening is required at the initial visit for all patients seeking opioid therapy. In addition, we perform random screenings in accordance with FDA guidelines. Please be prepared to provide a urine specimen at each appointment.

Meet Our Provider

Expert care from our board-certified pain management physician

Dr. Preeti Narayan, MD

Dr. Preeti Narayan, MD

Anesthesiologist and Pain Management Physician

"Every patient deserves clarity, compassion, and the highest level of care. My role is to provide answers, deliver results, and walk with you every step of the way."

— Dr. Preeti Narayan

About Dr. Preeti Narayan

Dr. Preeti Narayan is a double board-certified anesthesiologist and pain management physician. She specializes in innovative interventional pain management at Orion spine and pain. Passionate about providing comprehensive, patient-centered care, she tailors treatment plans to meet the unique needs of each individual, helping them achieve better pain relief and improved quality of life. Dr. Narayan earned her medical degree from Grant Medical College in Mumbai, India, and completed her residency at SUNY Downstate Medical Center in Brooklyn, New York. She pursued advanced fellowship training in acute pain and regional anesthesiology at Emory University in Atlanta and chronic interventional pain management at Cook County Hospital in Chicago. She is an active member of professional organizations including the American Society of Regional Anesthesia and Pain Medicine , American society of interventional pain physician , Georgia society for interventional pain physicians and North American Neuromodulation Society. At Orion spine and pain, Dr. Narayan is dedicated to building strong connections with her patients, listening to their concerns, and delivering the most effective solutions for managing chronic pain. She values working alongside her team to provide compassionate, cutting-edge care to both new and returning patients.

Insurance Plans We Accept

We work with most major insurance providers to ensure your care is accessible and affordable

  • arrow_forward Medicare and Medicare replacement plans
  • arrow_forward Aetna
  • arrow_forward Aetna MCR
  • arrow_forward Ambetter- required enrollment
  • arrow_forward Cigna
  • arrow_forward BCBS
  • arrow_forward BCBS MCR
  • arrow_forward UHC
  • arrow_forward UHC MC
  • arrow_forward Ambetter
  • arrow_forward Tricare Prime
  • arrow_forward Humana MCR

We accept most insurance plans, but please contact our office to verify acceptance of your specific plan.

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Patient Forms

Download and complete these forms before your appointment to save time and ensure we have all the necessary information

infoInstructions

Please download and complete the appropriate forms before your appointment. You can either:

  • Print and bring the completed forms to your appointment
  • Email the completed forms to info@orionspineandpain.com
  • Fax the completed forms to 855-538-2179

Note: New patients should complete the "New Patient Packet" and all other required forms.

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Initial Intake Form

Complete this form to provide your basic information and medical history.

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New Patient Packet

Complete packet for all new patients including comprehensive intake information.

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Privacy Notice

Information about how we protect and handle your personal health information.

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HIPAA Authorization

Authorization form for release of protected health information.

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Consent Forms

General consent forms for treatment and procedures.

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Opioid Agreement

Agreement and questions regarding opioid medication management.

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Release of Information

Form to authorize release of medical information to other providers.

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Referral Form

Form for healthcare providers to refer patients to our practice.

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Need Help?

If you have trouble accessing or completing any forms, please contact our office for assistance.

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Contact Us

Get in touch with Orion Spine and Pain - we're here to help you find relief and improve your quality of life

Get In Touch

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Phone Number
call 678-325-1224
Phone Support: 8:30 AM - 4:00 PM (Monday to Friday)
Office and phone support will remain closed on all major federal holidays
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Fax Number
print 855-538-2179
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Office Hours
Tuesday - Thursday: 8:30 AM - 4:00 PM
Saturday - Sunday: Closed
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Office Location
780 Canton Rd NE Suite 330
Marietta, GA 30060
(Space is shared with Center for Wellness and Pain Care of Georgia)

What Our Patients Say

Real experiences from patients who have found relief and care at Orion Spine and Pain

Ready to Start Your Journey to Relief?

Join the many patients who have found lasting relief and exceptional care at Orion Spine and Pain

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patient portal

Our Patient Portal gives you secure online access to your health information

Patient Portal is a secure, convenient, and easy-to-use website that gives you round-the-clock access to your health information. View labs, medications, and immunization records. Get reminders. Exchange messages with your doctor. Stay informed and take charge of your health!

Here's what you can do with our portal
  • checkView lab results
  • checkSend & receive messages securely
  • checkAccess health records
  • checkBook appointments online
  • checkGet statements and receipts online
  • checkView doctors' notes
Patient Portal Login

Need help logging in? Call us at 678-325-1224

Online health access on your smartphone

Access your health record with the healow TM smartphone app. Along with the features you get with our Patient Portal, the healow app can manage multiple accounts (all family members), set medication and appointment reminders, and use trackers to help manage health. The healow app is a secure and convenient way to manage what's important and puts YOU in control of your health.

healow is available free on the Apple app store and Google Play store.

Download free healow smartphone app
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To learn more about healow, click here

healow app

Set up the healow smartphone app in four easy steps!

Download the healow app from App Store (iPhone) or Google Play (Android Phone).

Search for our practice by entering this unique code on the healow app - DGAJDD.

Enter your portal username and password.

Set up your PIN to securely access your health record.

Use this unique code to search our practice on the healow app

Practice Unique Code
DGAJDD