NPIMap

Organization Active NPI

Pain Consultants of Georgia LLC

Doing business as Key Pain Center

  • Pain Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1497052146
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PAIN CONSULTANTS OF GEORGIA LLC
Doing business as
Key Pain Center
Practice address
3370 Sugarloaf Pkwy
Suite G-7
Lawrenceville, GA 30044-5478
Phone
(678) 799-6696
NPI assigned
Feb 15, 2011
Last updated
Feb 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Dr. David Taillefer, D.C.NPI 1134312838
Title
Member
Phone
(678) 799-6696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

3370 Sugarloaf Pkwy
Suite G-7
Lawrenceville, GA 30044-5478

Mailing address

3370 Sugarloaf Pkwy
Suite G-7
Lawrenceville, GA 30044-5478

Other names 1

  • Key Pain Center Doing business as

National Provider Directory

National Provider Directory

Locations

3370 Sugarloaf Pkwy
Ste G7
Lawrenceville, GA 30044
Phone (678) 225-5553

Practitioners & affiliated clinicians

Practitioners 5

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": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1497052146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 SUGARLOAF PKWY",
            "address_2": "SUITE G-7",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 SUGARLOAF PKWY",
            "address_2": "SUITE G-7",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445478",
            "telephone_number": "678-799-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CONSULTANTS OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "TAILLEFER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "678-799-6696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.