NPIMap

Organization Active NPI

Nexus Pain Center of Houston County

  • Pain Medicine (Anesthesiology) Physician
  • Dublin, GA
National Provider Identifier
1417757204
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
NEXUS PAIN CENTER OF HOUSTON COUNTY
Practice address
230 Industrial Blvd Ste B
Dublin, GA 31021-2904
Phone
(478) 474-2947
Fax
(478) 971-4004
NPI assigned
Mar 19, 2025
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
THE NEXUS PAIN CENTER OF HOUSTON COUNTY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Chandresh Vithal Viradia, MDNPI 1538117015
Title
Partner
Phone
(478) 971-4001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

230 Industrial Blvd Ste B
Dublin, GA 31021-2904

Mailing address

230 Sheraton Blvd Ste a
Macon, GA 31210-1358
Phone (478) 474-2947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250215000053 GA DME Supplier - Physician - Interventional Pain Management 0648281519 1 other NPI on this enrollment
Practice locations: Dublin, GA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
The Nexus Pain Ctr Houston

Locations

230 Sheraton Blvd
Ste A
Macon, GA 31210
Phone (478) 474-2947

3200 Riverside Dr
Bldg C
Macon, GA 31210
Phone (474) 757-1500

201 Byrd Ct
Ste 400
Warner Robins, GA 31088
Phone (478) 971-4001

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

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": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1417757204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SHERATON BLVD STE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101358",
            "telephone_number": "478-474-2947",
            "fax_number": "478-971-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 INDUSTRIAL BLVD STE B",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212904",
            "telephone_number": "478-474-2947",
            "fax_number": "478-971-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS PAIN CENTER OF HOUSTON COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE NEXUS PAIN CENTER OF HOUSTON COUNTY LLC",
        "enumeration_date": "2025-03-19",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "VIRADIA",
        "authorized_official_first_name": "CHANDRESH",
        "authorized_official_middle_name": "VITHAL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "478-971-4001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.