MD Pain Care, P.C.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

MD PAIN CARE, P.C.

Practice address

1301 Sigman Rd
Suite 100
Conyers, GA 30012-4515

Phone

(770) 760-9360

Fax

(770) 760-9303

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. R L Talley Jr., M.D.

Title

President

Phone

(770) 760-9360

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Covington Anesthesia Associates Former legal business name

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Southern Cross Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Conyers, GA
  • NPI 1225321508

  Member Of

  NPD member

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1336201664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 MARS HILL RD",
            "address_2": "STE C",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774893",
            "telephone_number": "706-769-9633",
            "fax_number": "706-769-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN RD",
            "address_2": "SUITE 100",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124515",
            "telephone_number": "770-760-9360",
            "fax_number": "770-760-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PAIN CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-760-9360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300028514",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covington Anesthesia Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sukari J McMiller, DDS
• McMurray Enterprises Inc. Dba Care Solutions
• Jacquelyn McNeal, DAHM, LAC, DIPL. OM
• Tabitha Wishard McWhorter, PHARMD
• MD Pain Care PC
• MD Precision Lab
• Tracy Meachem
• Kristyn Ponton Meade, M.ED,FAAA
• Med Partners
• Med-Trak LLC

• Pain Medicine (Anesthesiology) Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Pain Medicine (Anesthesiology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.