Pain Care Center of Georgia LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PAIN CARE CENTER OF GEORGIA LLC

Practice address

1365 Rock Quarry Rd
Suite 301
Stockbridge, GA 30281-5029

Phone

(770) 771-6580

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Vincent Galan, MD

Title

President

Phone

(770) 771-6580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Pain Care Center of Georgia LLCCCN 11C0001338

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pain Care LLC

  • Anesthesiology Physician
  • Stockbridge, GA
  • NPI 1265607626

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1407095359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 ROCK QUARRY RD",
            "address_2": "SUITE 301",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815029",
            "telephone_number": "770-771-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 ROCK QUARRY RD",
            "address_2": "SUITE 301",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815029",
            "telephone_number": "770-771-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE CENTER OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "GALAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-771-6580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Larry Ozoh, DPT
• Thomas Allen Pace, PT, DPT
• Pacific Health Systems LLC
• Devika Padilla
• Sarai Padilla, PSY.D.
• Pain Care LLC
• Pain Center at Piedmont LLC. ASC
• Pain Center at Piedmont, LLC
• Pain Consultants at Piedmont LLC, ASC
• Pain Management Specialist of Atlanta PC

• Ambulatory Surgical Clinic/Center in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.