Pain Management & Rehabilitation Specialists, PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PAIN MANAGEMENT & REHABILITATION SPECIALISTS, PC

Doing business as

PM&R Specialists, PC

Practice address

4409 Evans to Locks Rd
Evans, GA 30809-3603

Phone

(706) 396-7671

Fax

(706) 396-7676

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kristen B Covington

Title

Office Manager

Phone

(706) 396-7671

Specialties & licenses 1

Addresses

Other names 1

• PM&R SPECIALISTS, PC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Tax ID family

Pain Management Rehab Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pain Management & Rehabilitation Specialists, PC

  • Non-Pharmacy Dispensing Site
  • Evans, GA
  • NPI 1750859336
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis A Williams, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Evans, GA
  • NPI 1235131525
  Medicare reassignment NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1437176419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 EVANS TO LOCKS RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093603",
            "telephone_number": "706-396-7671",
            "fax_number": "706-396-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 EVANS TO LOCKS RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093603",
            "telephone_number": "706-396-7671",
            "fax_number": "706-396-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT & REHABILITATION SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "COVINGTON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-396-7671",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PM&R SPECIALISTS, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Johnson Owen, LPC
• Ralph G Owen Jr., MD
• Christopher P Owens
• Cindy Pafford
• Stacy Page, CSA
• Pain Management & Rehabilitation Specialists, PC
• Gregory Charles Pancake, PT, DPT
• Erin Park, LPC
• Bailey Olivia Parker, OT, MOT
• Christopher Patrick Parker, RPH

• Pain Medicine Physician in Evans, GA
• Providers in Evans, GA by specialty
• Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.