MAGNOLIA MIDLANDS PAIN MANAGEMENT
NPI 1811124456
Anesthesiology - Pain Medicine in Jesup, GA

Q: What is Magnolia Midlands Pain Management's NPI number?

The NPI number for Magnolia Midlands Pain Management is 1811124456. It was assigned to this organization in the NPPES registry on June 22, 2009.

Q: What is Magnolia Midlands Pain Management's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since June 22, 2009

186 S. MACON ST., JESUP, GA 31545(912) 530-7516(912) 530-7517 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Magnolia Midlands Pain Management NPPES

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

MAGNOLIA MIDLANDS PAIN MANAGEMENT (NPI 1811124456) is a healthcare organization registered as a pain medicine in Jesup, Georgia and active in the NPI registry since June 2009. The organization lists Mandy Burke, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811124456

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameMAGNOLIA MIDLANDS PAIN MANAGEMENT

Location Address186 S. MACON ST.Jesup, GA 31545-1117

Mailing Address186 S. Macon StreetJesup, GA 31545-1117 · (912) 530-7516 · Fax (912) 530-7517

Phone(912) 530-7516

Fax(912) 530-7517

Organization SubpartNo

Authorized OfficialMandy BurkeOffice Manager · (912) 530-7516

Enumeration DateJune 22, 2009

Last NPPES UpdateNovember 5, 2012

✔ NPI 1811124456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in GA · 062371

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedSpecialistTaxonomy 174400000X

186 S. MACON ST., Jesup, GA 31545

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Other Identifiers 4

Medicaid166390878AGA

Medicare UPIN41146BGA

Medicare PIN202G703902GA

Medicare NSC6373750001GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Magnolia Midlands Pain Management's NPI number?

The NPI number for Magnolia Midlands Pain Management is 1811124456. It was assigned to this organization in the NPPES registry on June 22, 2009.

Where is Magnolia Midlands Pain Management located?

Magnolia Midlands Pain Management is located at 186 S. Macon St., Jesup, GA 31545. The listed phone number is (912) 530-7516.

What is Magnolia Midlands Pain Management's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Magnolia Midlands Pain Management was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.