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PALMETTO PAIN MANAGEMENT OF GA, LLC
NPI 1336527191
Anesthesiology - Pain Medicine in Cumming, GA

Active since May 13, 2015CLIA 42D1088990 · Certificate of Compliance
5745 CLARION ST, CUMMING, GA 30040(803) 779-3263(803) 779-3207 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palmetto Pain Management Of Ga, Llc NPPES

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

PALMETTO PAIN MANAGEMENT OF GA, LLC (NPI 1336527191) is a healthcare organization registered as a pain medicine in Cumming, Georgia and active in the NPI registry since May 2015. The organization holds a CLIA Certificate of Compliance certificate valid through June 9, 2027 and lists Jennifer Hodge, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1336527191
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NamePALMETTO PAIN MANAGEMENT OF GA, LLC
Location Address5745 CLARION STCumming, GA 30040-0305
Mailing Address1655 Bernardin Ave, Suite 240Columbia, SC 29204-2039 · (803) 779-3263
Phone(803) 779-3263
Fax(803) 779-3207
Organization SubpartYesParent: Palmetto Pain Management, Llc
Authorized OfficialJennifer HodgePractice Administrator · (803) 779-3263
Enumeration DateMay 13, 2015
✔ NPI 1336527191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in GA · 71017
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.
5745 CLARION ST, Cumming, GA 30040
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Other Identifiers 2

Medicare UPIND29692GA
Medicare UPINB19429SC

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 Compliance 42D1088990

Palmetto Pain Management, LLC · Columbia, SC
Active · expires Jun 9, 2027
CLIA Number42D1088990
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorBradley Hall
Laboratory Phone(803) 779-3263
Laboratory LocationPalmetto Pain Management, LLC2611 Forest Drive Suite 200, Columbia, SC 29204
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Palmetto Pain Management Of Ga, LLC's NPI number?

The NPI number for Palmetto Pain Management Of Ga, LLC is 1336527191. It was assigned to this organization in the NPPES registry on May 13, 2015.

Where is Palmetto Pain Management Of Ga, LLC located?

Palmetto Pain Management Of Ga, LLC is located at 5745 Clarion St, Cumming, GA 30040. The listed phone number is (803) 779-3263.

What is Palmetto Pain Management Of Ga, LLC's specialty?

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

Does Palmetto Pain Management Of Ga, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D1088990) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Palmetto Pain Management Of Ga, LLC was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.