PAIN TREATMENT CENTERS OF GEORGIA LLC
NPI 1447945407
Anesthesiology - Pain Medicine in Jesup, GA

Active since April 06, 2023
1907 SUNSET BLVD, JESUP, GA 31545(912) 910-3777 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2024, Apr 6, 2023 (2 updates tracked since 2023).

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 1447945407) is a healthcare organization registered as a pain medicine in Jesup, Georgia and active in the NPI registry since April 2023. The organization lists Vadim Petrov-kondratov, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1447945407
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NamePAIN TREATMENT CENTERS OF GEORGIA LLC
Location Address1907 SUNSET BLVDJesup, GA 31545-7813
Mailing Address604 W Oglethorpe HwyHinesville, GA 31313-4415 · (912) 910-3777
Organization SubpartNo
Authorized OfficialVadim Petrov-kondratovPhysician Owner · (912) 910-3777
Enumeration DateApril 6, 2023
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
NPI 1447945407 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.
1907 SUNSET BLVD, Jesup, GA 31545

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 3

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

Pain Medicine (Interventional Pain Medicine)
1907 SUNSET BLVD
JESUP, GA 31545
Neurological Surgery
1907 SUNSET BLVD
JESUP, GA 31545
Anesthesiology (Pain Medicine)
1907 SUNSET BLVD
JESUP, GA 31545

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 1447945407. It was assigned to this organization in the NPPES registry on April 6, 2023.

Where is Pain Treatment Centers Of Georgia LLC located?

Pain Treatment Centers Of Georgia LLC is located at 1907 Sunset Blvd, Jesup, GA 31545. 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 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.