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GEORGIA INTERVENTIONAL PAIN - S, LLC
NPI 1417764572
Clinic/Center - Ambulatory Surgical in Austell, GA

Active since December 12, 2024
3825 MEDICAL PARK DR STE 302, AUSTELL, GA 30106(770) 962-3642 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Georgia Interventional Pain - S, Llc NPPES

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

GEORGIA INTERVENTIONAL PAIN - S, LLC (NPI 1417764572) is a healthcare organization registered as an ambulatory surgical in Austell, Georgia and active in the NPI registry since December 2024. The organization lists Amit S Patel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417764572
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGEORGIA INTERVENTIONAL PAIN - S, LLC
Location Address3825 MEDICAL PARK DR STE 302Austell, GA 30106-6831
Mailing Address455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768 · (770) 962-3642 · Fax (770) 962-3643
Phone(770) 962-3642
Organization SubpartNo
Authorized OfficialAmit S PatelCeo · (770) 962-3642
Enumeration DateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1417764572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3825 MEDICAL PARK DR STE 302, Austell, GA 30106
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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 Georgia Interventional Pain - S, LLC's NPI number?

The NPI number for Georgia Interventional Pain - S, LLC is 1417764572. It was assigned to this organization in the NPPES registry on December 12, 2024.

Where is Georgia Interventional Pain - S, LLC located?

Georgia Interventional Pain - S, LLC is located at 3825 Medical Park Dr Ste 302, Austell, GA 30106. The listed phone number is (770) 962-3642.

What is Georgia Interventional Pain - S, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Georgia Interventional Pain - S, LLC was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.