OPTIM PAIN MANAGEMENT - TIFTON
NPI 1164857686
Clinic/Center - Pain in Tifton, GA

Active since September 04, 2013

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Optim Pain Management - Tifton NPPES

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

OPTIM PAIN MANAGEMENT - TIFTON (NPI 1164857686) is a healthcare organization registered as a pain in Tifton, Georgia and active in the NPI registry since September 2013. The organization lists Lavonda Cravey, Controller, as its authorized official.

NPPES Registry Identity

NPI1164857686
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameORTHOPEDIC SURGEONS OF GEORGIA, LLC
Location Address39 KENT RDTifton, GA 31794-1698
Mailing Address39 Kent RdTifton, GA 31794-1698
Organization SubpartNo
Authorized OfficialLavonda CraveyController · (912) 383-5600
Enumeration DateSeptember 4, 2013
Last NPPES UpdateDecember 21, 2016
✔ NPI 1164857686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
39 KENT RD, Tifton, GA 31794

Other Names 1

Doing Business AsOptim Pain Management - Tifton

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optim Pain Management - Tifton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Optim Pain Management - Tifton, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1003527714
1622 MADISON AVE
Tifton, GA 31794
(229) 387-8061
✔ PECOS✔ Accepts Medicare0.5 mi
Orthopedic Surgery
NPI 1538120639
100 DOCTORS DR STE I
Douglas, GA 31533
(912) 383-6575
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1720583586
100 DOCTORS DR STE I
Douglas, GA 31533
(912) 384-3657
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1538409651
100 DOCTORS DR STE I
Douglas, GA 31533
(912) 383-6575
✔ PECOS37 mi
Orthopedic Surgery
NPI 1386653061
100 DOCTORS DR STE F
Douglas, GA 31533
(912) 383-6575
✔ PECOS37 mi
Orthopedic Surgery
NPI 1437356813
100 DOCTORS DR SUITE 204
Douglas, GA 31533
(912) 383-6575
✔ PECOS✔ Accepts Medicare37 mi
Orthopedic Surgery
NPI 1871852426
100 DOCTORS DR STE I
Douglas, GA 31533
(912) 383-6575
✔ PECOS✔ Accepts Medicare37 mi

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

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 Orthopedic Surgeons Of Georgia, LLC's NPI number?

The NPI number for Orthopedic Surgeons Of Georgia, LLC is 1164857686. It was assigned to this organization in the NPPES registry on September 4, 2013. The provider is doing business as Optim Pain Management - Tifton.

Where is Orthopedic Surgeons Of Georgia, LLC located?

Orthopedic Surgeons Of Georgia, LLC is located at 39 Kent Rd, Tifton, GA 31794. The listed phone number is (229) 387-8061.

What is Orthopedic Surgeons Of Georgia, LLC's specialty?

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

Is Orthopedic Surgeons Of Georgia, LLC enrolled in Medicare?

Yes. Orthopedic Surgeons Of Georgia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orthopedic Surgeons Of Georgia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Orthopedic Surgeons Of Georgia, LLC. 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. The largest specialties are Orthopedic Surgery (4) and Nurse Practitioner (3). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Orthopedic Surgeons Of Georgia, LLC was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.