NPIMap

Organization Active NPI

Georgia Pain Institute. LLC

  • Pain Medicine Physician
  • Macon, GA
National Provider Identifier
1265560379
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
GEORGIA PAIN INSTITUTE. LLC
Doing business as
Pain Institute of Georgia
Practice address
3356 Vineville Ave
Macon, GA 31204-2328
Phone
(478) 476-9886
Fax
(478) 476-9976
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Dr. Carlos J Giron, M.D.NPI 1053392068
Title
Ceo
Phone
(478) 476-9886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

3356 Vineville Ave
Macon, GA 31204-2328

Mailing address

PO Box 13474
Macon, GA 31208-3474
Phone (478) 476-9886

Other practice location 1

624 S Houston Lake Rd Ste 100
Warner Robins, GA 31088-9017
Phone (478) 476-9642

Other names 1

  • Pain Institute of Georgia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040202000989 GA Part B Supplier - Clinic/Group Practice 1557254844 Receives reassigned benefits from 6 practitioners
Practice locations: Macon, GA
O20120525000053 GA DME Supplier - Physician - Unknown Physician Specialty 1557254844 Practice locations: Macon, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0995331Georgia Pain Institute Dba Pain Institute of Ga3356 Vineville Avenue, Suite a, Macon, GA 31204AccreditationAug 13, 2027

National Provider Directory

National Provider Directory

Locations

910 N 5th St
Ste G
Cordele, GA 31015

624 S Houston Lake Rd
Ste 100
Warner Robins, GA 31088
Phone (478) 476-9642

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1265560379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13474",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312083474",
            "telephone_number": "478-476-9886",
            "fax_number": "478-476-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042328",
            "telephone_number": "478-476-9886",
            "fax_number": "478-476-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 S Houston Lake Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310889017",
            "country_code": "US",
            "telephone_number": "478-476-9642",
            "fax_number": "478-476-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGIA PAIN INSTITUTE. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "GIRON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-476-9886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Institute of Georgia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pain Institute of Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.