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

Q: 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.

Q: 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.

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: August 09, 2026.

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

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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, 2026 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

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, 2026

CLIA Number11D2271833

Laboratory TypePhysician Office

Certificate Effective DateNovember 9, 2024

Certificate Expiration DateNovember 8, 2026

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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN TUAN NGUYEN M.D

Pain Medicine (Pain Medicine)

4775 JIMMY CARTER BLVD STE 102
NORCROSS, GA 30093

Gwinnett County (678) 451-1828

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.

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, 2026. 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 3 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.