PAINLOGICS LLC
NPI 1336925684
Clinic/Center - Pain in Roswell, GA

Active since September 04, 2023CLIA 11D2290533 · Waiver
490 SUN VALLEY DR STE 103, ROSWELL, GA 30076(678) 490-2255 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Painlogics Llc NPPES

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

PAINLOGICS LLC (NPI 1336925684) is a healthcare organization registered as a pain in Roswell, Georgia and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Yi Ding, Physician, as its authorized official.

NPPES Registry Identity

NPI1336925684
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePAINLOGICS LLC
Location Address490 SUN VALLEY DR STE 103Roswell, GA 30076-5642
Mailing Address490 Sun Valley Dr Ste 103Roswell, GA 30076-5642 · (678) 490-2255
Organization SubpartNo
Authorized OfficialYi DingPhysician · (678) 490-2255
Enumeration DateSeptember 4, 2023
NPPES CertifiedSeptember 2, 2023
✔ NPI 1336925684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
490 SUN VALLEY DR STE 103, Roswell, GA 30076

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Painlogics 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 Painlogics LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1114309267
490 SUN VALLEY DR STE 103
Roswell, GA 30076
(678) 490-2255
✔ 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 11D2290533

Painlogics, LLC · Roswell, GA
Active · expires Sep 26, 2027
CLIA Number11D2290533
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorYi Ding
Laboratory Phone(678) 490-2255
Laboratory LocationPainlogics, LLC490 Sun Valley Drive, Suite 103, Roswell, GA 30076
CLIA data matches this NPI record on: Address 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 Painlogics LLC's NPI number?

The NPI number for Painlogics LLC is 1336925684. It was assigned to this organization in the NPPES registry on September 4, 2023.

Where is Painlogics LLC located?

Painlogics LLC is located at 490 Sun Valley Dr Ste 103, Roswell, GA 30076. The listed phone number is (678) 490-2255.

What is Painlogics LLC's specialty?

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

Is Painlogics LLC enrolled in Medicare?

Yes. Painlogics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Painlogics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Painlogics 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 Painlogics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2290533) is associated with this NPI, valid through September 26, 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 Painlogics LLC was last updated on September 4, 2023. 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.