BRUNSWICK PAIN TREATMENT CENTER, LLC
NPI 1154422541
Clinic/Center - Ambulatory Surgical in Brunswick, GA

NPI Status: Active since September 26, 2006

Contact Information

1111 GLYNCO PKWY
3RD FLOOR
BRUNSWICK, GA
ZIP 31525
Phone: (912) 262-6552
Fax: (912) 262-0112

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 11D1085594
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-22-2026

About BRUNSWICK PAIN TREATMENT CENTER, LLC

This page provides the complete NPI Profile along with additional information for Brunswick Pain Treatment Center, Llc, a provider established in Brunswick, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1154422541 assigned on September 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 0411782 (GA). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Shaneka Tinch (Rcm Manager)

NPI
1154422541
Provider Name
BRUNSWICK PAIN TREATMENT CENTER, LLC
Entity Type
Organization
Location Address
1111 GLYNCO PKWY 3RD FLOOR BRUNSWICK, GA 31525
Location Phone
(912) 262-6552
Location Fax
(912) 262-0112
Mailing Address
4960 SW 72ND AVE STE 405 MIAMI, FL 33155
Mailing Phone
(469) 458-9222
Mailing Fax
(912) 262-0112
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2006
Last Update Date
12-08-2025
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
0411782
License State
GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
  • MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
  • MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHANEKA TINCH

Authorized Official Title
RCM MANAGER
Authorized Official Phone
(469) 458-9222

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P00200372OTHER (01)GAMEDICARE RAILROAD

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 24 times for 17 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 73 times for 45 patients

Destruction of peripheral nerve or branch

Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.

This service was performed 22 times for 13 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

This service was performed 45 times for 31 patients

Fusion of spine in lower back

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

This service was performed 19 times for 19 patients

Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones

This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.

This service was performed 22 times for 22 patients

Injection of anesthetic agent and/or steroid into other nerve or branch

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

This service was performed 66 times for 25 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 308 times for 147 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 149 times for 54 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 72 times for 65 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 82 times for 55 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

This service was performed 113 times for 41 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 246 times for 118 patients

Insertion of spinal neurostimulator electrode array through skin

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

This service was performed 77 times for 26 patients

Insertion of spinal neurostimulator generator or receiver

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

This service was performed 20 times for 20 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

This service was performed 13 times for 13 patients

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
11D1085594
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 23, 2024
Certificate Expiration Date
June 22, 2026
Laboratory Director
CHRISTOPHER J. BOVINET
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brunswick Pain Treatment Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1154422541, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 4 → 8 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 8 + 2 + 4 + 5 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1154422541.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
1111 GLYNCO PKWY
BRUNSWICK, GA 31525
Family Medicine (Adult Medicine)
1111 GLYNCO PKWY, SUITE 200
BRUNSWICK, GA 31525
Specialist
1111 GLYNCO PKWY, SUITE 400
BRUNSWICK, GA 31525
Clinic/Center (Rehabilitation)
1111 GLYNCO PKWY, SUITE 110
BRUNSWICK, GA 31525
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1111 GLYNCO PKWY, BUILDING 2 SUITE 200
BRUNSWICK, GA 31525
Clinic/Center (Oncology)
1111 GLYNCO PKWY, SUITE 500
BRUNSWICK, GA 31525
Chiropractor
1111 GLYNCO PKWY, SUITE 400
BRUNSWICK, GA 31525
Neurological Surgery
1111 GLYNCO PKWY, 3RD FLOOR
BRUNSWICK, GA 31525
Dermatology
1111 GLYNCO PKWY, BLDG 1, SUITE 20
BRUNSWICK, GA 31525
Physical Therapist
1111 GLYNCO PKWY, SUITE 110
BRUNSWICK, GA 31525
Physician Assistant
1111 GLYNCO PKWY, SUITE 400
BRUNSWICK, GA 31525
Social Worker (Clinical)
1111 GLYNCO PKWY, 2ND FL, SUITE 200
BRUNSWICK, GA 31525
Physical Medicine & Rehabilitation (Pain Medicine)
1111 GLYNCO PKWY, STE 400
BRUNSWICK, GA 31525
Sleep Specialist, PhD
1111 GLYNCO PKWY, SUITE 410
BRUNSWICK, GA 31525
Psychiatry & Neurology (Pain Medicine)
1111 GLYNCO PKWY, STE 400
BRUNSWICK, GA 31525
Prosthetic/Orthotic Supplier
1111 GLYNCO PKWY, BUILDING 2, SUITE 110
BRUNSWICK, GA 31525
Internal Medicine (Pulmonary Disease)
1111 GLYNCO PKWY, SUITE 410
BRUNSWICK, GA 31525
Pain Medicine (Interventional Pain Medicine)
1111 GLYNCO PKWY, 3RD FLOOR
BRUNSWICK, GA 31525
Social Worker
1111 GLYNCO PKWY, BLDG 2, SUITE 200
BRUNSWICK, GA 31525
Specialist
1111 GLYNCO PKWY, STE. 400
BRUNSWICK, GA 31525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154422541, enumerated as an "organization" on September 26, 2006.

The provider is located at 1111 GLYNCO PKWY 3RD FLOOR BRUNSWICK, GA 31525 and the phone number is (912) 262-6552.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Mending Health, Railroad Medicare, Medicare and. Please consult your insurance carrier or call the provider to verify.