PAIN TREATMENT CENTERS OF GEORGIA LLC
NPI 1134909542
Clinic/Center - Pain in Richmond Hill, GA
NPI Status: Active since October 03, 2023
Contact Information
3760 US HIGHWAY 17 UNIT 11
RICHMOND HILL, GA
ZIP 31324
Phone: (912) 910-3777
Fax: (912) 292-0005
- Organization
- Clinic/Center
- Pain
- CLIA Number: 11D2258890
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-24-2027
About PAIN TREATMENT CENTERS OF GEORGIA LLC
This page provides the complete NPI Profile along with additional information for Pain Treatment Centers Of Georgia Llc, a provider established in Richmond Hill, Georgia operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1134909542 assigned on October 2023. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Vadim Petrov-kondratov Md (Physician Owner)
- NPI
- 1134909542
- Provider Name
- PAIN TREATMENT CENTERS OF GEORGIA LLC
- Entity Type
- Organization
- Location Address
- 3760 US HIGHWAY 17 UNIT 11 RICHMOND HILL, GA 31324
- Location Phone
- (912) 910-3777
- Location Fax
- (912) 292-0005
- Mailing Address
- 604 W OGLETHORPE HWY HINESVILLE, GA 31313
- Mailing Phone
- (912) 910-3777
- Mailing Fax
- (912) 292-0005
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-03-2023
- Last Update Date
- 06-17-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2258890
- Facility Type
- Physician Office
- Certificate Effective Date
- October 25, 2025
- Certificate Expiration Date
- October 24, 2027
- Laboratory Director
- FELIX O. OMORUYI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pain Treatment Centers Of Georgia Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for PAIN TREATMENT CENTERS OF GEORGIA LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134909542, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134909542, enumerated as an "organization" on October 03, 2023.
The provider is located at 3760 US HIGHWAY 17 UNIT 11 RICHMOND HILL, GA 31324 and the phone number is (912) 910-3777.
Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.
