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

Q: What is Brunswick Pain Treatment Center, LLC's NPI number?

The NPI number for Brunswick Pain Treatment Center, LLC is 1154422541. It was assigned to this organization in the NPPES registry on September 26, 2006.

Q: What is Brunswick Pain Treatment Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since September 26, 2006CLIA 11D1085594 · Waiver

1111 GLYNCO PKWY, 3RD FLOOR, BRUNSWICK, GA 31525(912) 262-6552(912) 262-0112 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2025, Sep 16, 2025, Jul 27, 2018 (3 updates tracked since 2018).

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About Brunswick Pain Treatment Center, Llc NPPES

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

BRUNSWICK PAIN TREATMENT CENTER, LLC (NPI 1154422541) is a healthcare organization registered as an ambulatory surgical in Brunswick, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 22, 2028 and lists Shaneka Tinch, Rcm Manager, as its authorized official.

NPPES Registry Identity

NPI1154422541

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameBRUNSWICK PAIN TREATMENT CENTER, LLC

Location Address1111 GLYNCO PKWY, 3RD FLOORBrunswick, GA 31525

Mailing Address4960 Sw 72nd Ave Ste 405Miami, FL 33155-5506 · (469) 458-9222 · Fax (540) 918-7202

Phone(912) 262-6552

Fax(912) 262-0112

Organization SubpartNo

Authorized OfficialShaneka TinchRcm Manager · (469) 458-9222

Enumeration DateSeptember 26, 2006

Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1154422541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in GA · 0411782

1111 GLYNCO PKWY, Brunswick, GA 31525

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Other Identifiers 1

OtherP00200372GA · Medicare Railroad

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brunswick Pain Treatment Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Brunswick Pain Treatment Center, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Robert Sizemore, FNP

Nurse Practitioner

NPI 1467011213

89 INTERCHANGE DR
Richmond Hill, GA 31324

(912) 527-5301

✔ PECOS✔ Accepts Medicare48 mi

Guensley Delva, M.D.

Pain Management

NPI 1285019018

1218 ALICE ST
Waycross, GA 31501

(912) 590-0973

✔ PECOS✔ Accepts Medicare51 mi

Anthony Mcpherson, MD

Pain Management

NPI 1477537660

2550 WINDY HILL RD SE STE 208209
Marietta, GA 30067

(855) 593-3479

✔ PECOS✔ Accepts Medicare253 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Waiver 11D1085594

Brunswick Pain Treatment Center · Brunswick, GA

Active · expires Jun 22, 2028

CLIA Number11D1085594

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 23, 2026

Certificate Expiration DateJune 22, 2028

Laboratory DirectorChristopher J. Bovinet

Laboratory Phone(912) 262-6552

Laboratory LocationBrunswick Pain Treatment Center1111 Glynco Parkway Suite B 3rd Floor, Brunswick, GA 31525

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

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.

270 services139 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

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.

244 services113 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

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.

125 services45 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

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.

121 services43 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

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.

89 services53 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

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.

78 services58 patients

Insertion of spinal neurostimulator electrode array through skin 63650

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.

68 services28 patients

Injection of substance into lower spine canal using imaging guidance 62323

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.

61 services53 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

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.

56 services38 patients

Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level 0627T

This procedure involves injecting cell or tissue-based material into a spinal disc in the lower back. It's done through the skin and aims to treat back pain or disc problems. It's a minimally invasive procedure, often performed under local anesthesia.

55 services32 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

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.

51 services21 patients

Destruction of peripheral nerve or branch 64640

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.

41 services20 patients

Insertion of peripheral nerve neurostimulator electrode through skin 64555

This procedure involves placing a small electrode under the skin to stimulate peripheral nerves. It helps manage chronic pain by sending mild electrical signals to the nervous system, interrupting pain signals before they reach the brain.

36 services15 patients

Aspiration and/or injection of fluid from large joint 20610

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.

21 services14 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T

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.

18 services18 patients

Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628

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.

17 services16 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

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.

16 services16 patients

Fusion of spine in lower back 22612

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.

11 services11 patients

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 Brunswick Pain Treatment Center, LLC's NPI number?

The NPI number for Brunswick Pain Treatment Center, LLC is 1154422541. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Brunswick Pain Treatment Center, LLC located?

Brunswick Pain Treatment Center, LLC is located at 1111 Glynco Pkwy 3rd Floor, Brunswick, GA 31525. The listed phone number is (912) 262-6552.

What is Brunswick Pain Treatment Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Brunswick Pain Treatment Center, LLC enrolled in Medicare?

Yes. Brunswick Pain Treatment Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brunswick Pain Treatment Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Brunswick Pain Treatment Center, LLC, in Nurse Practitioner and Pain Management. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Brunswick Pain Treatment Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1085594) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brunswick Pain Treatment Center, LLC was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.