PAIN TREATMENT CENTERS OF GEORGIA LLC
NPI 1134909542
Clinic/Center - Pain in Richmond Hill, GA

Q: What is Pain Treatment Centers Of Georgia LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Active since October 03, 2023CLIA 11D2258890 · Certificate of Compliance

3760 US HIGHWAY 17 UNIT 11, RICHMOND HILL, GA 31324(912) 910-3777(912) 292-0005 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 17, 2024, Oct 3, 2023 (2 updates tracked since 2023).

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About Pain Treatment Centers Of Georgia Llc NPPES

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

PAIN TREATMENT CENTERS OF GEORGIA LLC (NPI 1134909542) is a healthcare organization registered as a pain in Richmond Hill, Georgia and active in the NPI registry since October 2023. The organization holds a CLIA Certificate of Compliance certificate valid through October 24, 2027 and lists Vadim Petrov-kondratov, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1134909542

Entity TypeOrganization

Primary Taxonomy261QP3300X

Legal Business NamePAIN TREATMENT CENTERS OF GEORGIA LLC

Location Address3760 US HIGHWAY 17 UNIT 11Richmond Hill, GA 31324-3378

Mailing Address604 W Oglethorpe HwyHinesville, GA 31313-4415 · (912) 910-3777 · Fax (912) 292-0005

Phone(912) 910-3777

Fax(912) 292-0005

Organization SubpartNo

Authorized OfficialVadim Petrov-kondratovPhysician Owner · (912) 910-3777

Enumeration DateOctober 3, 2023

Last NPPES UpdateJune 17, 20242 updates tracked since enumeration

NPPES CertifiedJune 17, 2024

✔ NPI 1134909542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities

Taxonomy Code261QP3300X

3760 US HIGHWAY 17 UNIT 11, Richmond Hill, GA 31324

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 11D2258890

Pain Treatment Centers Of Georgia LLC · Hinesville, GA

Active · expires Oct 24, 2027

CLIA Number11D2258890

Laboratory TypePhysician Office

Certificate Effective DateOctober 25, 2025

Certificate Expiration DateOctober 24, 2027

Laboratory DirectorFelix O. Omoruyi

Laboratory Phone(912) 342-2443

Laboratory LocationPain Treatment Centers Of Georgia LLC604 W Oglethorpe Highway, Hinesville, GA 31313

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

DEERAN PATEL MD

Anesthesiology (Pain Medicine)

3760 US HIGHWAY 17 UNIT 11
RICHMOND HILL, GA 31324

Bryan County (912) 910-3777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pain Treatment Centers Of Georgia LLC's NPI number?

The NPI number for Pain Treatment Centers Of Georgia LLC is 1134909542. It was assigned to this organization in the NPPES registry on October 3, 2023.

Where is Pain Treatment Centers Of Georgia LLC located?

Pain Treatment Centers Of Georgia LLC is located at 3760 Us Highway 17 Unit 11, Richmond Hill, GA 31324. The listed phone number is (912) 910-3777.

What is Pain Treatment Centers Of Georgia LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does Pain Treatment Centers Of Georgia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2258890) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pain Treatment Centers Of Georgia LLC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.