GEORGIA PAIN SPINE CENTER
NPI 1750494423
Clinic/Center - Ambulatory Surgical in Cartersville, GA

Active since August 16, 2006CLIA 11D1040575 · Waiver
15 MEDICAL DRIVE, SUITE 302, CARTERSVILLE, GA 30121(678) 337-3163(770) 422-7306 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 20, 2020, Dec 12, 2019, Oct 9, 2018 (3 updates tracked since 2018).

About Georgia Pain Spine Center NPPES

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

GEORGIA PAIN SPINE CENTER (NPI 1750494423) is a healthcare organization registered as an ambulatory surgical in Cartersville, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Victoria Beck, Cfo, as its authorized official.

NPPES Registry Identity

NPI1750494423
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGEORGIA PAIN SPINE CENTER
Location Address15 MEDICAL DRIVE, SUITE 302Cartersville, GA 30121
Mailing AddressPo Box 11407 Dept 2657Birmingham, AL 35246-0001 · (770) 920-4950 · Fax (770) 929-9092
Fax(770) 422-7306
Organization SubpartNo
Authorized OfficialVictoria BeckCfo · (404) 403-8310
Enumeration DateAugust 16, 2006
Last NPPES UpdateFebruary 20, 20203 updates tracked since enumeration
✔ NPI 1750494423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · PainTaxonomy 261QP3300X · License 008-311 (GA)
15 MEDICAL DRIVE, Cartersville, GA 30121

Other Identifiers 1

Other5665923GA · Ccn And First Health

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Pain Spine Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20051018001041Non-DME Part B · Ambulatory Surgical CenterDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

111

Medicare enrollment records show 111 clinicians reassign Medicare billing to Georgia Pain Spine Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Certified Registered Nurse Anesthetist (CRNA)99
Pain Management5
Anesthesiology4
Interventional Pain Management3

Nearest to this location (20)

See all 111
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427354216
960 JOE FRANK HARRIS PKWY SE ANESTHESIA DEPT
Cartersville, GA 30120
(770) 382-1530
0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902220981
130 E MAIN ST STE 200
Canton, GA 30114
(888) 408-0200
✔ Accepts Medicare18 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1598104408
1635 OLD 41 HWY NW SUITE 112-328
Kennesaw, GA 30152
(770) 732-3664
✔ Accepts Medicare18 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194161158
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
19 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164528618
823 CAMPBELL HILL ST NW
Marietta, GA 30060
(678) 203-6711
21 mi
Anesthesiology
NPI 1093155970
780 CANTON RD NE STE 330
Marietta, GA 30060
(678) 325-1224
✔ PECOS✔ Accepts Medicare21 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629624135
677 CHURCH ST NE
Marietta, GA 30060
(770) 794-0477
✔ Accepts Medicare21 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1285066415
677 CHURCH ST NE
Marietta, GA 30060
(770) 794-0477
✔ Accepts Medicare21 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144874074
668 ROXTON LN SW
Marietta, GA 30064
(678) 779-9850
22 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1174829386
3870 MEDICAL PARK DR STE 110
Austell, GA 30106
(770) 948-6824
✔ Accepts Medicare26 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1407025976
3950 AUSTELL RD
Austell, GA 30106
(770) 732-3648
26 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265482418
120 PARK EAST DR
Roswell, GA 30075
(678) 523-4000
27 mi
Anesthesiology
NPI 1124190079
1295 HEMBREE ROAD STE 101
Roswell, GA 30076
(770) 948-6824
✔ PECOS✔ Accepts Medicare29 mi
Pain Management
NPI 1801845409
3161 HOWELL MILL RD STE 310
Atlanta, GA 30327
(404) 350-0980
✔ PECOS✔ Accepts Medicare33 mi
Interventional Pain Management
NPI 1558310151
2061 PEACHTREE RD NE STE 225
Atlanta, GA 30309
(770) 929-9033
✔ PECOS✔ Accepts Medicare36 mi
Pain Management
NPI 1194712018
2061 PEACHTREE RD NE STE 225
Atlanta, GA 30309
(770) 929-9033
✔ PECOS✔ Accepts Medicare36 mi
Anesthesiology
NPI 1518174457
2061 PEACHTREE RD NE STE 225
Atlanta, GA 30309
(404) 554-0633
✔ PECOS36 mi
Anesthesiology
NPI 1316926058
3885 PRINCETON LAKES WAY SW STE 400
Atlanta, GA 30331
(678) 733-9666
✔ PECOS41 mi
Interventional Pain Management
NPI 1235185141
1388 WELLBROOK CIR NE SUITE A
Conyers, GA 30012
(770) 929-9033
✔ PECOS✔ Accepts Medicare58 mi
Pain Management
NPI 1679869234
5303 ADAMS ST NE STE C&D
Covington, GA 30014
(404) 920-4950
✔ PECOS✔ Accepts Medicare69 mi
See all 111 clinicians

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 11D1040575

Georgia Pain Spine Center LLC · Cartersville, GA
Active · expires May 11, 2027
CLIA Number11D1040575
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorDavid W. Gale
Laboratory Phone(770) 590-1078
Laboratory LocationGeorgia Pain Spine Center LLC15 Medical Drive, Suite 302, Cartersville, GA 30121
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
133 services72 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
115 services35 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
113 services58 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
100 services56 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
73 services28 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
59 services45 patients

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 Georgia Pain Spine Center's NPI number?

The NPI number for Georgia Pain Spine Center is 1750494423. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Georgia Pain Spine Center located?

Georgia Pain Spine Center is located at 15 Medical Drive Suite 302, Cartersville, GA 30121. The listed phone number is (678) 337-3163.

What is Georgia Pain Spine Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Georgia Pain Spine Center enrolled in Medicare?

Yes. Georgia Pain Spine Center is registered in the Medicare PECOS enrollment system.

When is Georgia Pain Spine Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Ambulatory Surgical Center) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Georgia Pain Spine Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 111 clinicians in 4 Medicare specialties reassign their Medicare billing to Georgia Pain Spine Center. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (99), Pain Management (5) and Anesthesiology (4). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Georgia Pain Spine Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1040575) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Georgia Pain Spine Center accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Georgia Pain Spine Center 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 Georgia Pain Spine Center was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.