CHRONIC PAIN CLINICS OF AMERICA LLC
NPI 1417054669
Specialist in Marietta, GA

Active since September 20, 2006CLIA 11D2065964 · Certificate of Compliance
1395 S MARIETTA PKWY SE, BLDG 100 STE 101, MARIETTA, GA 30067(770) 425-8700(770) 425-8740 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Chronic Pain Clinics Of America Llc NPPES

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

CHRONIC PAIN CLINICS OF AMERICA LLC (NPI 1417054669) is a healthcare organization registered as a specialist in Marietta, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 11, 2028 and lists Gary Studenic, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417054669
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHRONIC PAIN CLINICS OF AMERICA LLC
Location Address1395 S MARIETTA PKWY SE, BLDG 100 STE 101Marietta, GA 30067-4440
Mailing Address1395 S Marietta Pkwy Se, Bldg 100 Ste 101Marietta, GA 30067-4440 · (770) 425-8700 · Fax (770) 425-8740
Fax(770) 425-8740
Organization SubpartNo
Authorized OfficialGary StudenicCeo · (404) 784-7722
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417054669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1395 S MARIETTA PKWY SE, Marietta, GA 30067

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chronic Pain Clinics Of America Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Chronic Pain Clinics Of America LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Physical Medicine and Rehabilitation
NPI 1740267640
4905 LAVISTA RD STE B
Tucker, GA 30084
(770) 680-5740
✔ PECOS18 mi
Family Practice
NPI 1801050976
1 HOSPITAL DR DC018.00, MA202F
Columbia, MO 65212
(573) 882-8885
✔ PECOS✔ Accepts Medicare555 mi

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 Compliance 11D2065964

Chronic Pain Clinics Of America, LLC · Marietta, GA
Active · expires Apr 11, 2028
CLIA Number11D2065964
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorAlan J. Stevenson
Laboratory Phone(770) 425-8700
Laboratory LocationChronic Pain Clinics Of America, LLC1395 South Marietta Parkway, Bldg 100, Ste 101, Marietta, GA 30067
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 Chronic Pain Clinics Of America LLC's NPI number?

The NPI number for Chronic Pain Clinics Of America LLC is 1417054669. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Chronic Pain Clinics Of America LLC located?

Chronic Pain Clinics Of America LLC is located at 1395 S Marietta Pkwy SE Bldg 100 Ste 101, Marietta, GA 30067. The listed phone number is (770) 425-8700.

What is Chronic Pain Clinics Of America LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Chronic Pain Clinics Of America LLC enrolled in Medicare?

Yes. Chronic Pain Clinics Of America LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chronic Pain Clinics Of America LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Chronic Pain Clinics Of America LLC, in Family Practice and Physical Medicine and Rehabilitation. 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 Chronic Pain Clinics Of America LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2065964) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chronic Pain Clinics Of America LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Chronic Pain Clinics Of America LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chronic Pain Clinics Of America LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.