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CENTERS FOR PAIN MANAGEMENT OF GEORGIA LLC
NPI 1659615540
Pain Medicine - Interventional Pain Medicine in Tifton, GA

Active since November 16, 2012CLIA 11D2052195 · Waiver
39 KENT RD STE 8, TIFTON, GA 31794(229) 391-2910(229) 386-4770 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2021, Aug 17, 2017, Jul 11, 2017 and 2 more (5 updates tracked since 2016).

About Centers For Pain Management Of Georgia Llc NPPES

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

CENTERS FOR PAIN MANAGEMENT OF GEORGIA LLC (NPI 1659615540) is a healthcare organization registered as an interventional pain medicine in Tifton, Georgia and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Misty D Hooks, Billing/credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1659615540
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCENTERS FOR PAIN MANAGEMENT OF GEORGIA LLC
Location Address39 KENT RD STE 8Tifton, GA 31794-1697
Mailing AddressPo Box 7083Tifton, GA 31793-7083 · (229) 391-2910 · Fax (229) 238-0953
Phone(229) 391-2910
Fax(229) 386-4770
Organization SubpartNo
Authorized OfficialMisty D HooksBilling/credentialing Supervisor · (229) 238-0265
Enumeration DateNovember 16, 2012
Last NPPES UpdateApril 7, 20215 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1659615540 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 · 59158
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.
39 KENT RD STE 8, Tifton, GA 31794
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D2052195

Centers For Pain Management Of Georgia, LLC · Tifton, GA
Active · expires Jan 6, 2027
CLIA Number11D2052195
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorMr. Patrick G. Goodman
Laboratory Phone(229) 391-2910
Laboratory LocationCenters For Pain Management Of Georgia, LLC39 Kent Road Suite 8, Tifton, GA 31794
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

KELLEY H PLANT NP
Nurse Practitioner
39 KENT RD STE 8
TIFTON, GA 31794
Tift County (229) 391-2910
DR. PATRICK GLENN GOODMAN MD
Pain Medicine (Pain Medicine)
39 KENT RD STE 8
TIFTON, GA 31794
Tift County (229) 391-2910
SANDRA ANN ADCOCK FNP-BC
Nurse Practitioner (Family)
39 KENT RD STE 8
TIFTON, GA 31794
Tift County (229) 391-2910

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 Centers For Pain Management Of Georgia LLC's NPI number?

The NPI number for Centers For Pain Management Of Georgia LLC is 1659615540. It was assigned to this organization in the NPPES registry on November 16, 2012.

Where is Centers For Pain Management Of Georgia LLC located?

Centers For Pain Management Of Georgia LLC is located at 39 Kent Rd Ste 8, Tifton, GA 31794. The listed phone number is (229) 391-2910.

What is Centers For Pain Management Of Georgia LLC's specialty?

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

Does Centers For Pain Management Of Georgia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2052195) is associated with this NPI, valid through January 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centers For Pain Management Of 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 Centers For Pain Management Of 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 Centers For Pain Management Of Georgia LLC was last updated on April 7, 2021. 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.