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FX SPINE AND PERFORMANCE CENTER, LLC
NPI 1558970640
Anesthesiology - Pain Medicine in Evans, GA

Active since July 24, 2020CLIA 11D2192202 · Waiver
106 SRP DR STE B, EVANS, GA 30809(706) 842-6800(706) 842-6780 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2020, Jul 30, 2020, Jul 24, 2020 (3 updates tracked since 2020).

About Fx Spine And Performance Center, Llc NPPES

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

FX SPINE AND PERFORMANCE CENTER, LLC (NPI 1558970640) is a healthcare organization registered as a pain medicine in Evans, Georgia and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Nicholas Allan Deangelo, President, as its authorized official.

NPPES Registry Identity

NPI1558970640
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameFX SPINE AND PERFORMANCE CENTER, LLC
Location Address106 SRP DR STE BEvans, GA 30809-4358
Mailing Address824 Kestrel DrEvans, GA 30809-0328 · (717) 557-5926
Phone(706) 842-6800
Fax(706) 842-6780
Organization SubpartNo
Authorized OfficialNicholas Allan DeangeloPresident · (717) 557-5926
Enumeration DateJuly 24, 2020
Last NPPES UpdateDecember 3, 20203 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
✔ NPI 1558970640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · PainTaxonomy 261QP3300X
106 SRP DR STE B, Evans, GA 30809
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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

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 Waiver 11D2192202

Fx Spine And Performance Center, LLC · Evans, GA
Active · expires Sep 7, 2026
CLIA Number11D2192202
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorNicholas A. Deangelo
Laboratory Phone(706) 842-6800
Laboratory LocationFx Spine And Performance Center, LLC106 Srp Drive, Suite B, Evans, GA 30809
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fx Spine And Performance Center, LLC's NPI number?

The NPI number for Fx Spine And Performance Center, LLC is 1558970640. It was assigned to this organization in the NPPES registry on July 24, 2020.

Where is Fx Spine And Performance Center, LLC located?

Fx Spine And Performance Center, LLC is located at 106 Srp Dr Ste B, Evans, GA 30809. The listed phone number is (706) 842-6800.

What is Fx Spine And Performance Center, LLC's specialty?

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

Does Fx Spine And Performance Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2192202) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fx Spine And Performance Center, LLC was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.