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OPTIMUM PAIN MANAGEMENT CENTER LLC
NPI 1306583141
Anesthesiology - Pain Medicine in Norcross, GA

Active since May 13, 2022CLIA 11D2271833 · Waiver
4775 JIMMY CARTER BLVD STE 102, NORCROSS, GA 30093(678) 451-1828(678) 451-1829 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2022, Aug 2, 2022, May 13, 2022 (3 updates tracked since 2022).

About Optimum Pain Management Center Llc NPPES

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

OPTIMUM PAIN MANAGEMENT CENTER LLC (NPI 1306583141) is a healthcare organization registered as a pain medicine in Norcross, Georgia and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through November 8, 2028 and lists Steven Nguyen, Physician, as its authorized official.

NPPES Registry Identity

NPI1306583141
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameOPTIMUM PAIN MANAGEMENT CENTER LLC
Location Address4775 JIMMY CARTER BLVD STE 102Norcross, GA 30093-3752
Mailing Address4775 Jimmy Carter Blvd Ste 102Norcross, GA 30093-3752 · (678) 451-1828 · Fax (678) 451-1829
Phone(678) 451-1828
Fax(678) 451-1829
Organization SubpartNo
Authorized OfficialSteven NguyenPhysician · (678) 451-1828
Enumeration DateMay 13, 2022
Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1306583141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
4775 JIMMY CARTER BLVD STE 102, Norcross, GA 30093
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Optimum Pain Management Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Steven Nguyen, M.D
Anesthesiology
NPI 1679896104
4775 JIMMY CARTER BLVD STE 102
Norcross, GA 30093
(678) 451-1828
✔ PECOS✔ Accepts MedicareSame address

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 11D2271833

Optimum Pain Management Center LLC · Norcross, GA
Active · expires Nov 8, 2028
CLIA Number11D2271833
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2026
Certificate Expiration DateNovember 8, 2028
Laboratory DirectorSteven T. Nguyen
Laboratory Phone(678) 451-1828
Laboratory LocationOptimum Pain Management Center LLC4775 Jimmy Carter Boulevard #102, Norcross, GA 30093
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Optimum Pain Management Center LLC's NPI number?

The NPI number for Optimum Pain Management Center LLC is 1306583141. It was assigned to this organization in the NPPES registry on May 13, 2022.

Where is Optimum Pain Management Center LLC located?

Optimum Pain Management Center LLC is located at 4775 Jimmy Carter Blvd Ste 102, Norcross, GA 30093. The listed phone number is (678) 451-1828.

What is Optimum Pain Management Center LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Optimum Pain Management Center LLC enrolled in Medicare?

Yes. Optimum Pain Management Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimum Pain Management Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Optimum Pain Management Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Optimum Pain Management Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2271833) is associated with this NPI, valid through November 8, 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 Optimum Pain Management Center LLC was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.