GEORGIA PAIN PHYSICIANS PC (NPI# 1275930257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275930257 |
| Entity Type | Organization |
| Organization Name | GEORGIA PAIN PHYSICIANS PC |
| Practice Address |
3 Boulder Rock Dr Palm Coast FL 32137-8555 |
| Mailing Address |
2550 Windy Hill Rd Se Suite 215 Marietta GA 30067-8665 |
| Practice Telephone | 3864459444 |
| Mailing Telephone | 7708500286 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | KAREN KING (DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 7708508695 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | FL | Chiropractic Providers | |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033305180 | Georgia Pain Physicians PC | Anesthesiology | 463688 Sr 200, Ste 7, Yulee, FL 32097-0304 | 2007-09-22 |
| 1356438824 | Georgia Pain Physicians PC | Pain Medicine | 88 Lindsey Ln, Ste B, Kingsland, GA 31548-6857 | 2006-10-06 |
| 1407884489 | Georgia Pain Physicians PC | Pain Medicine | 2550 Windy Hill Road, Suite 215, Marietta, GA 30067 | 2006-06-29 |
| 1841697950 | Georgia Pain Physicians PC | Anesthesiology | 2805 W Governor John Sevier Hwy, Knoxville, TN 37920-5552 | 2014-12-04 |
| 1871917617 | Georgia Pain Physicians PC | Physical Medicine & Rehabilitation | 313 Boynton Dr, Ringgold, GA 30736-2737 | 2014-02-14 |
| 1780017194 | Georgia Pain Physicians PC | Physical Medicine & Rehabilitation | 541 Forest Pkwy, Ste 14, Forest Park, GA 30297-6144 | 2013-08-21 |
| 1811320229 | Georgia Pain Physicians PC | Physical Medicine & Rehabilitation | 185 Professional Ct Se, Calhoun, GA 30701-7030 | 2013-08-21 |
| 1740613801 | Georgia Pain Physicians PC | Physical Medicine & Rehabilitation | 715 Queen City Pkwy, Gainesville, GA 30501-4348 | 2013-08-13 |
| Street Address |
3 BOULDER ROCK DR |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-8555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275506818 | Shariq Latif | Anesthesiology | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2006-02-13 |
| 1376950790 | Felicia Wright | Massage Therapist | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2014-07-17 |
| 1881036697 | Atlantic Sport & Spine Center LLC | Physical Medicine & Rehabilitation | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2013-07-22 |
| 1316388978 | Atlantic Sport & Spine Center | Clinic/Center | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2013-07-11 |
| 1609189968 | Frank C Bennett | Physical Therapist | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2010-07-15 |
| 1487985479 | Affordable Health Center Inc | Chiropractor | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2010-01-15 |
| 1154577708 | Michael Kranz | Physical Therapist | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2008-08-14 |
| 1841202041 | George W Monlux Jr. | Family Medicine | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871032466 | Lopez Pain Management LLC | Physical Medicine & Rehabilitation | 4863 Palm Coast Pkwy Nw Unit 2&3, Palm Coast, FL 32137-3666 | 2017-02-16 |
| 1144458100 | Manuel Enrique Lopez Diez | Physical Medicine & Rehabilitation | 4863 Palm Coast Pkwy Nw, Palm Coast, FL 32137-3666 | 2009-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161214 | Radius Medical Center LLC | Physical Medicine & Rehabilitation | 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 | 2020-07-17 |
| 1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
| 1508320342 | Grigory Pogrebinsky Md Pa | Physical Medicine & Rehabilitation | 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 | 2019-01-25 |
| 1235611815 | Peter Danger Molina | Physical Medicine & Rehabilitation | 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 | 2018-08-30 |
| 1497246540 | Restore Medical Partners Pllc | Physical Medicine & Rehabilitation | 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 | 2018-05-24 |
| 1568952240 | South Florida Physical Medicine and Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 | 2018-05-17 |
| 1235641655 | Boca Pain Care, Inc | Physical Medicine & Rehabilitation | 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 | 2017-10-25 |
| 1558870477 | Pain Control Solutions II LLC | Physical Medicine & Rehabilitation | 8323 Nw 12th Street, Suite 115, Miami, FL 33126 | 2017-09-22 |
| 1245759851 | Chelsea Hakeem | Physical Medicine & Rehabilitation | 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 | 2017-09-14 |
| 1508384165 | Destiny Therapy Center Inc | Physical Medicine & Rehabilitation | 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32137 |
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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.