SPINE CENTER OF SOUTHEAST GEORGIA LLC


Address: 52a Lindsey Lane, Kingsland, GA 31548-6855
Phone: 9122626552

SPINE CENTER OF SOUTHEAST GEORGIA LLC (NPI# 1477106771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477106771
Entity Type Organization
Organization Name SPINE CENTER OF SOUTHEAST GEORGIA LLC
Practice Address 52a Lindsey Lane
Kingsland
GA 31548-6855
Practice Telephone 9122626552
Practice Fax Number 9122620112
Mailing Telephone 9122626552
Mailing Fax Number 9122620112
Enumeration Date 2019-07-17
Last Update Date 2019-08-26
Authorized Official Name CHRISTOPHER JOHN BOVINET (OWNER)
Authorized Official Telephone 9122626552
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1639270903 Spine Center of Southeast Georgia LLC Pain Medicine 1111 Glynco Pkwy, Ste 300, Brunswick, GA 31525-7921 2006-09-26

Office Location

Street Address 52A LINDSEY LANE
City KINGSLAND
State GA
Zip Code 31548-6855

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356984611 Shelby Nichole Gambill Nurse Practitioner 103 Lake Palms Dr, Kingsland, GA 31548 2019-10-18
1629536339 The Behavior Placellc Behavior Technician 103 Johansen Way, Kingsland, GA 31548 2019-03-12
1588020234 Keywanna Nichole Price Nurse Practitioner 571 Henrietta St, Kingsland, GA 31548 2016-01-11
1083086243 Sorinity Support Services, LLC Nurse's Aide 801 Hwy 40 East Ste A-139, Kingsland, GA 31548 2015-10-28
1740661594 Briana Gray Family Medicine 1375 E King Ave Ste B, Kingsland, GA 31548 2015-06-17
1649670530 Kimberly Grande Physical Therapist 100 B Lindsey Lane, Kingsland, GA 31548 2014-08-27
1598044307 Margaret Peek Powell Counselor 100 Mariners Dr. Suite D, Kingsland, GA 31548 2011-08-10
1376850545 Heavenly Devine Blessing Home Delivered Meals 105 North Lee Street, Kingsland, GA 31548 2010-09-08
1053649657 Melissa Anne White Nurse Practitioner 701 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548 2009-11-20
1629203690 Genevieve Matherne Occupational Therapist 100b Lindsey Lane, Kingsland, GA 31548 2009-05-20
Find all providers in zip 31548

Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356438824 Georgia Pain Physicians PC Pain Medicine 88 Lindsey Ln, Ste B, Kingsland, GA 31548-6857 2006-10-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891302998 Apollo Spine and Pain Center Pain Medicine 4415 Front Nine Dr, Cumming, GA 30041-6063 2020-09-23
1235756792 Interventional Spine and Pain Management Center, PC Pain Medicine 2100 Central Ave Ste 6, Augusta, GA 30904-6709 2020-07-01
1902433147 Sun Pain Institute LLC Pain Medicine 836 E 65th St Ste 38, Savannah, GA 31405-4495 2020-03-26
1679107338 Atlanta Interventional Pain Management, LLC Pain Medicine 13190 Highway 92 Ste 120, Woodstock, GA 30188-4406 2020-03-02
1578193355 Regenerative Spine and Pain Specialists Pain Medicine 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 2020-01-22
1437790839 Specialty Spine and Pain, PC Pain Medicine 1498 Jesse Jewell Pkwy Se Ste D, Gainesville, GA 30501-3874 2019-10-07
1154962165 Specialty Spine and Pain, PC Pain Medicine 2695 Old Winder Hwy Ste 150, Braselton, GA 30517-6076 2019-10-01
1659912665 Specialty Spine and Pain, PC Pain Medicine 5005a Lanier Islands Pkwy Ste 100, Buford, GA 30518-1802 2019-10-01
1114578515 Interventional Spine and Pain Management Center, PC Pain Medicine 6002 Highway 53 E Ste 110, Dawsonville, GA 30534-6227 2019-09-26
1467014936 Interventional Spine and Pain Management Center, PC Pain Medicine 6920 Mcginnis Ferry Rd Ste 360b, Suwanee, GA 30024-6672 2019-07-03
Find all providers with the same taxonomy

Competitor

Search similar providers

City KINGSLAND
Zip Code 31548

Improve Information

Please comment or provide details below to improve the information on SPINE CENTER OF SOUTHEAST GEORGIA LLC.

Dataset Information

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.

Trending Searches