CONSULTANTS IN PAIN MEDICINE, LLC
NPI 1962103697
Pain Medicine - Interventional Pain Medicine in Baxley, GA

NPI Status: Active since March 10, 2023

Contact Information

195 E TOLLISON ST BLDG C
BAXLEY, GA
ZIP 31513
Phone: (912) 590-0973
Fax: (912) 590-0180

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine

About CONSULTANTS IN PAIN MEDICINE, LLC

This page provides the complete NPI Profile along with additional information for Consultants In Pain Medicine, Llc, a provider established in Baxley, Georgia operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1962103697 assigned on March 2023. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Consultants In Pain Medicine, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Alicia Groth (Credentialing)

NPI
1962103697
Provider Name
CONSULTANTS IN PAIN MEDICINE, LLC
Entity Type
Organization
Location Address
195 E TOLLISON ST BLDG C BAXLEY, GA 31513
Location Phone
(912) 590-0973
Location Fax
(912) 590-0180
Mailing Address
5191 FIRST COAST TECH PKWY FL 3 JACKSONVILLE, FL 32224
Mailing Phone
(904) 223-3321
Mailing Fax
(912) 590-0180
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-10-2023
Last Update Date
03-10-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALICIA GROTH

Authorized Official Title
CREDENTIALING
Authorized Official Phone
(904) 256-2754

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962103697
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122206618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 2 + 0 + 6 + 6 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1962103697 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962103697, enumerated as an "organization" on March 10, 2023.

The provider is located at 195 E TOLLISON ST BLDG C BAXLEY, GA 31513 and the phone number is (912) 590-0973.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.