Organization Active NPI

Nexus Pain Center of Milledgeville, LLC

  • Interventional Pain Medicine Physician
  • Milledgeville, GA
National Provider Identifier
1366788234
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
NEXUS PAIN CENTER OF MILLEDGEVILLE, LLC
Practice address
111 Fieldstone Dr
Suite 104
Milledgeville, GA 31061-7106
Phone
(478) 330-5754
Fax
(478) 330-5755
NPI assigned
Dec 21, 2012
Last updated
Feb 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Nathan E. Cumbie Jr.
Title
Ceo
Phone
(478) 330-5753

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X GA
Interventional Pain Medicine Physician 208VP0014X GA Primary

Addresses

Primary practice location

111 Fieldstone Dr
Suite 104
Milledgeville, GA 31061-7106

Mailing address

PO Box 116340
Atlanta, GA 30368-6340
Phone (706) 860-2701

National Provider Directory

National Provider Directory

Locations

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

111 Fieldstone Dr
Ste 104
Milledgeville, GA 31061
Phone (478) 414-9900

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1366788234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116340",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686340",
            "telephone_number": "706-860-2701",
            "fax_number": "706-860-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FIELDSTONE DR",
            "address_2": "SUITE 104",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617106",
            "telephone_number": "478-330-5754",
            "fax_number": "478-330-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS PAIN CENTER OF MILLEDGEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "CUMBIE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-330-5753",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.