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PAIN TREATMENT CENTERS OF GEORGIA LLC
NPI 1447185129
Anesthesiology - Pain Medicine in Vidalia, GA

Active since June 15, 2026
303 HARRIS INDUSTRIAL BLVD, VIDALIA, GA 30474(912) 910-3777(912) 292-0005 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pain Treatment Centers Of Georgia Llc NPPES

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

PAIN TREATMENT CENTERS OF GEORGIA LLC (NPI 1447185129) is a healthcare organization registered as a pain medicine in Vidalia, Georgia and active in the NPI registry since June 2026. The organization lists Vadim Petrov-kondratov, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1447185129
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NamePAIN TREATMENT CENTERS OF GEORGIA LLC
Location Address303 HARRIS INDUSTRIAL BLVDVidalia, GA 30474-8853
Mailing Address604 W Oglethorpe HwyHinesville, GA 31313-4415 · (912) 910-3777 · Fax (912) 292-0005
Phone(912) 910-3777
Fax(912) 292-0005
Organization SubpartNo
Authorized OfficialVadim Petrov-kondratovDirector/owner · (912) 910-3777
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1447185129 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.
303 HARRIS INDUSTRIAL BLVD, Vidalia, GA 30474
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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

Other Providers at the Same Location NPPES 4

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

SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Surgery
303 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 538-9977
CONSULTANTS IN PAIN MEDICINE,LLC
Anesthesiology (Pain Medicine)
303 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 537-4414
TATTNALL HOSPITAL COMPANY, LLC
Neurological Surgery
303 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 644-3340
KURT P HOFMANN MD LLC
Specialist
303 HARRIS INDUSTRIAL BLVD, SUITE 3
VIDALIA, GA 30474
Toombs County (866) 909-8354

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 Pain Treatment Centers Of Georgia LLC's NPI number?

The NPI number for Pain Treatment Centers Of Georgia LLC is 1447185129. It was assigned to this organization in the NPPES registry on June 15, 2026.

Where is Pain Treatment Centers Of Georgia LLC located?

Pain Treatment Centers Of Georgia LLC is located at 303 Harris Industrial Blvd, Vidalia, GA 30474. The listed phone number is (912) 910-3777.

What is Pain Treatment Centers Of Georgia LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pain Treatment Centers Of Georgia LLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.