TDI PAIN
NPI 1609143502
Pain Medicine - Interventional Pain Medicine in Lagrange, GA

Active since November 20, 2011CLIA 11D2161394 · Accreditation
1075 LAFAYETTE PKWY, STE 100, LAGRANGE, GA 30241(706) 443-5273(706) 443-5275 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tdi Pain NPPES

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

TDI PAIN (NPI 1609143502) is a healthcare organization registered as an interventional pain medicine in Lagrange, Georgia and active in the NPI registry since November 2011. The organization holds an CLIA Accreditation certificate valid through September 24, 2027 and lists Davin Gerrard Mitchell, Physician, as its authorized official.

NPPES Registry Identity

NPI1609143502
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameTOTAL DIAGNOSTIC AND INTERVENTIONAL PAIN PC
Location Address1075 LAFAYETTE PKWY, STE 100Lagrange, GA 30241-3584
Mailing Address1075 Lafayette Pkwy, Ste 100Lagrange, GA 30241-3584 · (706) 443-5273 · Fax (706) 443-5275
Fax(706) 443-5275
Organization SubpartNo
Authorized OfficialDavin Gerrard MitchellPhysician · (706) 845-9370
Enumeration DateNovember 20, 2011
Last NPPES UpdateJanuary 11, 2019
NPI 1609143502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in GA · 63786
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.
1075 LAFAYETTE PKWY, Lagrange, GA 30241

Other Names 1

Doing Business AsTdi Pain

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 Accreditation 11D2161394

Total Diagnostic And Interventional Pain · Lagrange, GA
Active · expires Sep 24, 2027
CLIA Number11D2161394
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorDr. Patricia Allen
Laboratory Phone(706) 443-5273
Laboratory LocationTotal Diagnostic And Interventional Pain1075 Lafayette Parkway, Suite 100, Lagrange, GA 30241
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1075 LAFAYETTE PKWY
LAGRANGE, GA 30241
Surgery
1075 LAFAYETTE PKWY
LAGRANGE, GA 30241
Physical Therapist
1075 LAFAYETTE PKWY
LAGRANGE, GA 30241
Anesthesiology (Pain Medicine)
1075 LAFAYETTE PKWY, STE 100
LAGRANGE, GA 30241
Anesthesiology (Pain Medicine)
1075 LAFAYETTE PKWY, STE 100
LAGRANGE, GA 30241

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 Total Diagnostic And Interventional Pain PC's NPI number?

The NPI number for Total Diagnostic And Interventional Pain PC is 1609143502. It was assigned to this organization in the NPPES registry on November 20, 2011. The provider is doing business as Tdi Pain.

Where is Total Diagnostic And Interventional Pain PC located?

Total Diagnostic And Interventional Pain PC is located at 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241. The listed phone number is (706) 443-5273.

What is Total Diagnostic And Interventional Pain PC's specialty?

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

Does Total Diagnostic And Interventional Pain PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D2161394) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Total Diagnostic And Interventional Pain PC was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.