Organization Active NPI

The Nexus Pain Center of Augusta LLC

  • Interventional Pain Medicine Physician
  • Evans, GA
National Provider Identifier
1093091902
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
9999999 Issued in GA
Legal business name
THE NEXUS PAIN CENTER OF AUGUSTA LLC
Practice address
4301 University Pkwy
Evans, GA 30809-3089
Phone
(706) 922-6780
Fax
(706) 922-6788
NPI assigned
Oct 25, 2011
Organization subpart
Yes
Parent organization
NEXUS MEDICAL HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Nathan Earl Cumbie Jr.
Title
Coo / Cfo
Phone
(478) 330-5742

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 9999999 GA
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 9999999 GA
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 070274 GA
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 9999999 GA
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 9999999 GA Primary

Addresses

Primary practice location

4301 University Pkwy
Evans, GA 30809-3089

Mailing address

PO Box 935322
Atlanta, GA 31193-5322
Phone (706) 860-2701

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1093091902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935322",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311935322",
            "telephone_number": "706-860-2701",
            "fax_number": "706-860-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 UNIVERSITY PKWY",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093089",
            "telephone_number": "706-922-6780",
            "fax_number": "706-922-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEXUS PAIN CENTER OF AUGUSTA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEXUS MEDICAL HOLDINGS LLC",
        "enumeration_date": "2011-10-25",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "CUMBIE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "COO / CFO",
        "authorized_official_telephone_number": "478-330-5742",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "9999999",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "9999999",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "070274",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "9999999",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "9999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.