SOUTHEAST REGIONAL PAIN CTR PC (NPI# 1194833970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194833970 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST REGIONAL PAIN CTR PC |
| Practice Address |
5669 Whitesville Road Columbus GA 31904 |
| Mailing Address |
Po Box 7757 Columbus GA 31908-7757 |
| Practice Telephone | 7065717246 |
| Practice Fax Number | 7065718820 |
| Mailing Telephone | 7065717246 |
| Mailing Fax Number | 7065638287 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | DR. KENNETH BARNGROVER (PRESIDENT) |
| Authorized Official Telephone | 7065717246 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
027027 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000296777E | 05 |
| Street Address |
5669 WHITESVILLE ROAD |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871050781 | Pain Management Solution LLC | Pain Medicine | 4010 W Goeller Blvd Ste C, Columbus, IN 47201-8312 | 2019-02-27 |
| 1518379205 | Ips Asc, LLC | Pain Medicine | 1210 Gemini Pl Ste 301, Columbus, OH 43240-6112 | 2014-05-29 |
| 1194883926 | Delta Pain Consultants, Inc. | Pain Medicine | 4602 Sawmill Rd, Columbus, OH 43220-2247 | 2006-12-05 |
| 1891229795 | Ips Asc, LLC | Pain Medicine | 1210 Gemini Pl, Suite 301, Columbus, OH 43240-6109 | 2017-04-18 |
| 1740584176 | Capital City Pain Care LLC | Pain Medicine | 3600 Olentangy River Road, Building 480, Columbus, OH 43214 | 2010-12-28 |
| 1083844013 | International Pain & Rehabilitation Center,llc | Pain Medicine | 99 N Brice Rd, Ste 240, Columbus, OH 43213-6510 | 2009-07-24 |
| 1073798427 | Bruce Massau, D.o., P.C. | Pain Medicine | 393 E Town St, Suite 109, Columbus, OH 43215-4741 | 2008-01-04 |
| 1588787162 | Kenneth Barngrover | Pain Medicine | 5669 Whitesville Rd, Columbus, GA 31904-9054 | 2007-04-09 |
| 1083719504 | Bruce Massau | Pain Medicine | 393 E Town St, Suite 109, Columbus, OH 43215-4741 | 2006-09-13 |
| 1225067432 | Pain Control Consultants Inc | Pain Medicine | 1680 Watermark Dr, Columbus, OH 43215-1034 | 2006-07-01 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.