Lanier Interventional Pain Center, LLC
A Medicare group practice based in Gainesville, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9436129962), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9436129962
- Provider type
- DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- GA
- Enrollments
- 3
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040730000363 | GA | Part B Supplier - Clinic/Group Practice | 1528041803 |
| O20110314000759 | GA | Part B Supplier - Ambulatory Surgical Center | 1669700241 |
| O20101206001078 | GA | DME Supplier - Physician - Interventional Pain Management | 1528041803 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Lanier Interventional Pain Center, LLC
- Interventional Pain Medicine Physician
- Gainesville, GA
- NPI 1528041803
-
Lanier Interventional Pain Center, LLC
dba LIPC Surgery Center
- Ambulatory Surgical Clinic/Center
- Gainesville, GA
- NPI 1669700241
Practice locations
- Gainesville, GA3
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (2).
-
Matthew A Dovie, PA
- Physician Assistant
- Gainesville, GA
- NPI 1740217017
-
Jesica Lyn Ellison, FNP-C
- Family Nurse Practitioner
- Gainesville, GA
- NPI 1194242636
-
John Lee Givogre, M.D.
- Pain Medicine (Anesthesiology) Physician
- Gainesville, GA
- NPI 1740263011
-
Tyler Kabes, M.D.
- Pain Medicine (Anesthesiology) Physician
- Fort Myers, FL
- NPI 1720433881
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.