Pain Associates of South Georgia LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

038152 Issued in GA

Legal business name

PAIN ASSOCIATES OF SOUTH GEORGIA LLC

Doing business as

Pain Associates of South Georgia

Practice address

306 Isabella St
Waycross, GA 31501-3636

Phone

(912) 267-9000

Fax

(912) 267-9028

NPI assigned

Jan 27, 2015

Last updated

Jan 28, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael J Lupi, DO

Title

Medical Director

Phone

(912) 267-9000

Specialties & licenses 2

Addresses

Other names 1

• Pain Associates of South Georgia Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1033509203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ISABELLA ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013636",
            "telephone_number": "912-490-7246",
            "fax_number": "912-490-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ISABELLA ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013636",
            "telephone_number": "912-267-9000",
            "fax_number": "912-267-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN ASSOCIATES OF SOUTH GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "LUPI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "912-267-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "038152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Associates of South Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Interventional Pain Medicine Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.