SPINE CENTER OF SOUTHEAST GEORGIA LLC
NPI 1639270903
Pain Medicine - Interventional Pain Medicine in Brunswick, GA

Active since September 26, 2006
1111 GLYNCO PKWY, STE 300, BRUNSWICK, GA 31525(912) 262-6552(912) 262-0112 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2025, Sep 17, 2025, Aug 26, 2019 and 1 more (4 updates tracked since 2017).

About Spine Center Of Southeast Georgia Llc NPPES

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

SPINE CENTER OF SOUTHEAST GEORGIA LLC (NPI 1639270903), doing business as Brunswick Pain Clinic, is a healthcare organization registered as an interventional pain medicine in Brunswick, Georgia and active in the NPI registry since September 2006. The organization lists Shaneka Tinch, Rcm Manager, as its authorized official.

NPPES Registry Identity

NPI1639270903
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSPINE CENTER OF SOUTHEAST GEORGIA LLC
Location Address1111 GLYNCO PKWY, STE 300Brunswick, GA 31525-7921
Mailing Address4960 Sw 72nd Ave Ste 405Miami, FL 33155-5506 · (469) 458-9222 · Fax (540) 918-7202
Fax(912) 262-0112
Organization SubpartNo
Authorized OfficialShaneka TinchRcm Manager · (469) 458-9222
Enumeration DateSeptember 26, 2006
Last NPPES UpdateDecember 8, 20254 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1639270903 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.
1111 GLYNCO PKWY, Brunswick, GA 31525

Other Names 1

Former Legal Business NameBrunswick Pain Clinic

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

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1111 GLYNCO PKWY
BRUNSWICK, GA 31525
Clinic/Center (Oncology)
1111 GLYNCO PKWY, SUITE 500
BRUNSWICK, GA 31525
Prosthetic/Orthotic Supplier
1111 GLYNCO PKWY, BUILDING 2, SUITE 110
BRUNSWICK, GA 31525
Clinic/Center (Ambulatory Surgical)
1111 GLYNCO PKWY, 3RD FLOOR
BRUNSWICK, GA 31525
Physical Therapist
1111 GLYNCO PKWY, SUITE 110
BRUNSWICK, GA 31525
Clinic/Center (Ambulatory Surgical)
1111 GLYNCO PKWY, 3RD FLOOR
BRUNSWICK, GA 31525
Physician Assistant
1111 GLYNCO PKWY, BUILDING 1, SUITE 20
BRUNSWICK, GA 31525
Clinic/Center (Urgent Care)
1111 GLYNCO PKWY, BUILDING 1, SUITE 10
BRUNSWICK, GA 31525

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 Spine Center Of Southeast Georgia LLC's NPI number?

The NPI number for Spine Center Of Southeast Georgia LLC is 1639270903. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider was formerly known as Brunswick Pain Clinic.

Where is Spine Center Of Southeast Georgia LLC located?

Spine Center Of Southeast Georgia LLC is located at 1111 Glynco Pkwy Ste 300, Brunswick, GA 31525. The listed phone number is (912) 262-6552.

What is Spine Center Of Southeast Georgia LLC's specialty?

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

What insurance does Spine Center Of Southeast Georgia LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Spine Center Of Southeast Georgia LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spine Center Of Southeast Georgia LLC was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.