SPINE CENTER OF SOUTHEAST GEORGIA LLC
NPI 1639270903
Pain Medicine - Interventional Pain Medicine in Brunswick, GA
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
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Spine Center Of Southeast Georgia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Spine Center Of Southeast Georgia LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Spine Center Of Southeast Georgia LLC enrolled in Medicare?
Yes. Spine Center Of Southeast Georgia LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spine Center Of Southeast Georgia LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Spine Center Of Southeast Georgia LLC, in Interventional Pain Management and Pain Management. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10 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.
# Spine Center Of Southeast Georgia Llc · NPI 1639270903
Interventional Pain Medicine organization in Brunswick, Georgia. Organization record, active in the CMS NPPES registry since September 26, 2006.
## Identity
- **NPI:** 1639270903 (Entity type: Organization)
- **Enumerated:** September 26, 2006
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Also known as:** Brunswick Pain Clinic (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Shaneka Tinch, RCM MANAGER
## Practice location
- **Address:** 1111 GLYNCO PKWY, STE 300, Brunswick, GA 31525-7921
- **Phone:** (912) 262-6552 · **Fax:** (912) 262-0112
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (1), Pain Management (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639270903) · Data from the CMS NPPES public registry.