CONSULTANTS IN PAIN MEDICINE, LLC
NPI 1497440911
Pain Medicine - Interventional Pain Medicine in Waycross, GA

Q: What is Consultants In Pain Medicine, LLC's NPI number?

The NPI number for Consultants In Pain Medicine, LLC is 1497440911. It was assigned to this organization in the NPPES registry on April 10, 2023. The provider is doing business as Centurion Spine & Pain Centers.

Q: What is Consultants In Pain Medicine, LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since April 10, 2023

1218 ALICE ST, WAYCROSS, GA 31501(912) 590-0973(912) 590-0180 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Consultants In Pain Medicine, Llc NPPES

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

CONSULTANTS IN PAIN MEDICINE, LLC (NPI 1497440911), doing business as Centurion Spine & Pain Centers, is a healthcare organization registered as an interventional pain medicine in Waycross, Georgia and active in the NPI registry since April 2023. The organization lists Alicia M Groth, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1497440911

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameCONSULTANTS IN PAIN MEDICINE, LLC

Location Address1218 ALICE STWaycross, GA 31501-4525

Mailing Address5191 First Coast Tech Pkwy Fl 3Jacksonville, FL 32224-0609 · (904) 256-2754

Phone(912) 590-0973

Fax(912) 590-0180

Organization SubpartNo

Authorized OfficialAlicia M GrothCredentialing Manager · (904) 223-3321

Enumeration DateApril 10, 2023

NPPES CertifiedApril 10, 2023

✔ NPI 1497440911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

1218 ALICE ST, Waycross, GA 31501

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Other Names 1

Doing Business AsCenturion Spine & Pain Centers

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Consultants In Pain Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateGeorgiaEnrollment IDO20240109002448DME · Physician - AnesthesiologyDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 9

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

KIMBERLY CECIL PA

Physician Assistant