Individual provider Active NPI

Guensley Ralph Delva, M.D.

  • Interventional Pain Medicine Physician
  • Waycross, GA
National Provider Identifier
1285019018
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
86309 Issued in GA
Practice address
1218 Alice St
Waycross, GA 31501-4525
Phone
(912) 590-0973
Fax
(912) 590-0180
NPI assigned
Jul 22, 2015
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20073 NH
Pain Medicine (Anesthesiology) Physician 207LP2900X 86309 GA
Interventional Pain Medicine Physician 208VP0014X 86309 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1218 Alice St
Waycross, GA 31501-4525

Mailing address

5191 First Coast Tech Pkwy FL 3
Jacksonville, FL 32224-0609
Phone (904) 223-3321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200807002038 GA Practitioner - Pain Management 7214265941 Reassigns benefits to 3 organizations
I20250609000345 FL Practitioner - Pain Management 7214265941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants in Pain Medicine LLCGroup PAC ID 7911975248, 16 clinicians
Jacksonville Spine Center PAGroup PAC ID 6901890300, 38 clinicians

Practice addresses (Care Compare)

1218 Alice St
Waycross, GA 31501-4525
Phone (912) 590-0973

5191 1St Coast Tech Pkwy
FL 3
Jacksonville, FL 32224-0609
Phone (904) 223-3321

916 Kingsbay Rd
Saint Marys, GA 31558-3745
Phone (912) 576-3802

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Pain Treatment Center, LLC CurrentSince Aug 1, 2020 Accepting new patients
Spine Center of Southeast Georgia LLC Interventional Pain Medicine CurrentSince Aug 1, 2020 Accepting new patients
Jacksonville Spine Center PA Interventional Pain Medicine CurrentSince Jul 28, 2025 Accepting new patients
Jacksonville Spine Center PA Pain Medicine CurrentSince Jul 28, 2025 Accepting new patients
Consultants in Pain Medicine, LLC Anesthesiology CurrentSince Jul 28, 2025 Accepting new patients
Consultants in Pain Medicine, LLC Interventional Pain Medicine CurrentSince Jul 28, 2025 Accepting new patients
Georgia Spine & Pain Centers Interventional Pain Medicine Past Accepting new patients
Spine Center of Southeast Georgia LLC Interventional Pain Medicine PastSince Jul 25, 2019 Accepting new patients
Centurion Surgery Center of Waycross LLC PastSince May 7, 2024 Accepting new patients

Locations

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332

1100 Plantation Island Dr S
Ste 220
Saint Augustine, FL 32080
Phone (904) 436-6420

1111 Glynco Pkwy
Fl 3
Brunswick, GA 31525
Phone (912) 262-6552

1111 Glynco Pkwy
Ste 300
Brunswick, GA 31525
Phone (912) 262-6552

3408 Trout St
Brunswick, GA 31520
Phone (912) 267-9000

1218 Alice St
Waycross, GA 31501
Phone (912) 264-9029

1218 Alice St
Ste B
Waycross, GA 31501
Phone (912) 590-0973

Interoperability endpoints

  • Direct secure messaging: gdelva364909@direct.dartmouth-hitchcock.org
  • Direct secure messaging: guensley.delva@jspc.eclinicaldirectplus.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1285019018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 FIRST COAST TECH PKWY FL 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240609",
            "telephone_number": "904-223-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014525",
            "telephone_number": "912-590-0973",
            "fax_number": "912-590-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVA",
        "first_name": "GUENSLEY",
        "middle_name": "RALPH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NH",
            "license": "20073",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "86309",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "86309",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.