BACK TO LIFE PAIN CENTER
NPI 1982172060
Physical Medicine & Rehabilitation - Pain Medicine in Woodstock, GA

Active since November 07, 2018
410 CREEKSTONE RDG, WOODSTOCK, GA 30188(678) 909-0911(678) 909-0912 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2020, Nov 7, 2018 (2 updates tracked since 2018).

About Back To Life Pain Center NPPES

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

BACK TO LIFE PAIN CENTER (NPI 1982172060) is a healthcare organization registered as a pain medicine in Woodstock, Georgia and active in the NPI registry since November 2018. The organization maintains a secondary practice location in Acworth and lists Konstantin Sergeyevich Tsymbalov, Owner, as its authorized official.

NPPES Registry Identity

NPI1982172060
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameBACK TO LIFE PAIN CENTER, LLC
Location Address410 CREEKSTONE RDGWoodstock, GA 30188-3740
Mailing Address410 Creekstone RdgWoodstock, GA 30188-3740 · (678) 909-0911 · Fax (678) 909-0912
Fax(678) 909-0912
Organization SubpartNo
Authorized OfficialKonstantin Sergeyevich TsymbalovOwner · (678) 909-0911
Enumeration DateNovember 7, 2018
Last NPPES UpdateAugust 14, 20202 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
NPI 1982172060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition

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

410 CREEKSTONE RDG, Woodstock, GA 30188

Other Names 1

Doing Business AsBack To Life Pain Center

Secondary Practice Location 1

Location 13459 Acworth Due West Rd NW, Suite 117Acworth, GA 30101 · Phone (678) 521-1105 · Fax (678) 909-0912

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

Accepted Insurance

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 Back To Life Pain Center, LLC's NPI number?

The NPI number for Back To Life Pain Center, LLC is 1982172060. It was assigned to this organization in the NPPES registry on November 7, 2018. The provider is doing business as Back To Life Pain Center.

Where is Back To Life Pain Center, LLC located?

Back To Life Pain Center, LLC is located at 410 Creekstone Rdg, Woodstock, GA 30188. The listed phone number is (678) 909-0911.

What is Back To Life Pain Center, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

What insurance does Back To Life Pain Center, LLC accept?

Health plans from Alliant Health Plans, Inc. list Back To Life Pain Center, 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 Back To Life Pain Center, LLC was last updated on August 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.