The Hemlock Pain Center, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

THE HEMLOCK PAIN CENTER, LLC

Practice address

500 W Main St
Thomaston, GA 30286-6209

Phone

(706) 307-6055

Fax

(478) 745-1225

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Stephen N. Tafor, MDNPI 1700844321

Title

President

Phone

(478) 745-2385

Specialties & licenses 5

Addresses

Other identifiers 1

Tax ID family

The Hemlock Pain Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• The Hemlock Pain Center, LLC

  • Interventional Pain Medicine Physician
  • Milledgeville, GA
  • NPI 1194279141
  NPD tax ID
• The Hemlock Pain Center, LLC

  • Interventional Pain Medicine Physician
  • Dublin, GA
  • NPI 1487185500
  NPD tax ID
• The Hemlock Pain Center, LLC

  • Interventional Pain Medicine Physician
  • Warner Robins, GA
  • NPI 1932576865
  NPD tax ID

Practitioners 1

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.

• Stephen N. Tafor, MD

  • Interventional Pain Medicine Physician
  • Macon, GA
  • NPI 1700844321
  Authorized official Same address or phone

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1295346781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PRESTON CT STE 103",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105771",
            "telephone_number": "478-745-2385",
            "fax_number": "478-745-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302866209",
            "telephone_number": "706-307-6055",
            "fax_number": "478-745-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEMLOCK PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "TAFOR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-745-2385",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482417805A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Afolake Sulola
• Lindsey W Sundeen, CNM/WHNP
• Kacie J. Swain, PA
• Rachael L Sweeney, NP-BC
• Sandra Tawfik
• The Optical Shop of Thomaston LLC
• Thomas M. Kretzmer
• Thomaston Ear, Nose and Throat Inc.
• Thomaston Family Practice LLC
• Thomaston Hospice, Inc.

• Anesthesiology Physician in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.