Active NPI
Hanowell Pain Management LLC
- Pain Medicine Physician
- Covington, GA
National Provider Identifier
1639483100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 061846
- Legal business name
- HANOWELL PAIN MANAGEMENT LLC
- Practice address
- 5126 Hospital Dr NE
Covington, GA 30014-2566 - Phone
- (770) 385-4426
- NPI assigned
- Jul 27, 2010
- Last updated
- Feb 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Hanowell, MD
- Title
- Owner
- Phone
- (770) 385-4426
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 061846 | GA | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 061846 | GA |
Addresses
Primary practice location
5126 Hospital Dr NE
Covington, GA 30014-2566
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pain Medicine Physician
- Covington, GA
- NPI 1316124894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328659200000",
"number": "1639483100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5126 HOSPITAL DR NE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142566",
"telephone_number": "770-385-4426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANOWELL PAIN MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-27",
"last_updated": "2012-02-08",
"status": "A",
"authorized_official_last_name": "HANOWELL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-385-4426",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "061846",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "061846",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.