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

Q: 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.

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: October 18, 2026.

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

On this page

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

Open in Google Maps ↗

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centers For Pain Management Of Georgia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Centers For Pain Management Of 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)

Patrick Goodman, MD

Anesthesiology

NPI 1639392558

39 KENT RD STE 8
Tifton, GA 31794

(229) 391-2910

✔ PECOS✔ Accepts MedicareSame address

Don Smith, MD

Anesthesiology

NPI 1053329268

415 E 4TH AVE STE B
Cordele, GA 31015

(229) 391-2910

✔ PECOS✔ Accepts Medicare39 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Centers For Pain Management Of Georgia LLC enrolled in Medicare?

Yes. Centers For Pain Management Of Georgia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centers For Pain Management Of Georgia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Anesthesiology, reassign their Medicare billing to Centers For Pain Management Of Georgia LLC. 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.

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.