Organization Active NPI

Interventional Pain Management of

  • Pain Medicine (Anesthesiology) Physician
  • Thomasville, GA
National Provider Identifier
1043482391
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
INTERVENTIONAL PAIN MANAGEMENT OF
Practice address
500 Gordon Ave
Thomasville, GA 31792-6646
Phone
(229) 228-3772
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Timothy H Ward, MD
Title
Owner
Phone
(229) 228-3772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

500 Gordon Ave
Thomasville, GA 31792-6646

Mailing address

500 Gordon Ave
Thomasville, GA 31792-6646
Phone (229) 228-3772

National Provider Directory

National Provider Directory

Locations

603 Wheat Ave
Ste 800
Bainbridge, GA 39819
Phone (229) 246-3608

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1043482391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926646",
            "telephone_number": "229-228-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926646",
            "telephone_number": "229-228-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MANAGEMENT OF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-228-3772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.