GEORGIA SPINE & PAIN CENTERS
NPI 1134769714
Pain Medicine - Interventional Pain Medicine in Waycross, GA

Q: What is Georgia Spine & Pain Centers's NPI number?

The NPI number for Georgia Spine & Pain Centers is 1134769714. It was assigned to this organization in the NPPES registry on January 10, 2020. The provider was formerly known as Georgia Spine & Pain Centers, LLC.

Q: What is Georgia Spine & Pain Centers's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since January 10, 2020

1507 ALICE ST, WAYCROSS, GA 31501(912) 590-0973(912) 590-0180 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Sep 28, 2022, Oct 8, 2021 and 4 more (7 updates tracked since 2020).

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About Georgia Spine & Pain Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIA SPINE & PAIN CENTERS (NPI 1134769714), doing business as Georgia Spine & Pain Centers, Llc, is a healthcare organization registered as an interventional pain medicine in Waycross, Georgia and active in the NPI registry since January 2020. The organization lists Alicia M Groth, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1134769714

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameGEORGIA SPINE & PAIN CENTERS

Location Address1507 ALICE STWaycross, GA 31501-4530

Mailing Address5191 First Coast Tech Pkwy, 3rd FloorJacksonville, FL 32224-0609 · (904) 223-3321 · Fax (904) 223-2169

Phone(912) 590-0973

Fax(912) 590-0180

Organization SubpartNo

Authorized OfficialAlicia M GrothCredentialing Specialist · (904) 223-3321

Enumeration DateJanuary 10, 2020

Last NPPES UpdateSeptember 2, 20257 updates tracked since enumeration

NPPES CertifiedApril 24, 2025

✔ NPI 1134769714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

1507 ALICE ST, Waycross, GA 31501

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Other Names 1

Former Legal Business NameGeorgia Spine & Pain Centers, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID J WALTERS M.D.

Family Medicine