South Georgia Pain Management

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008427 Issued in GA

Legal business name

SOUTH GEORGIA PAIN MANAGEMENT

Practice address

416 Tift Ave N
Tifton, GA 31794-4466

Phone

(229) 386-8800

Fax

(229) 382-0739

NPI assigned

Jan 25, 2011

Last updated

Jan 25, 2011By 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

Ryan L Byrnes, D.C.

Title

Owner

Phone

(229) 386-8800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1194020016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 TIFT AVE N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944466",
            "telephone_number": "229-386-8800",
            "fax_number": "229-382-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 TIFT AVE N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944466",
            "telephone_number": "229-386-8800",
            "fax_number": "229-382-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-386-8800",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Georgia Drug Company LLC (Friendly City Pharmacy)
• South Georgia Eye Partners
• South Georgia Eye Partners PC
• South Georgia Medicine, P.C.
• South Georgia Neurological Associates, P.C.
• South Georgia Physicians for Women
• South Georgia Surgical Clinic PC
• South Georgia Vascular Clinic (TIft Regional Medical Center d/b/a South Georgia Vascular Clinic)
• South Georiga Homecare Inc
• South Health District (Tift County Board of Health)

• Chiropractor in Tifton, GA
• Providers in Tifton, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.