Centers for Pain Management of Georgia LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

59158 Issued in GA

Legal business name

CENTERS FOR PAIN MANAGEMENT OF GEORGIA LLC

Practice address

39 Kent Rd Ste 8
Tifton, GA 31794-1697

Phone

(229) 391-2910

Fax

(229) 386-4770

NPI assigned

Nov 16, 2012

Organization subpart

No

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

Authorized official

Name

Misty D Hooks

Title

Billing/Credentialing Supervisor

Phone

(229) 238-0265

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73507

Practitioners 3

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

• Patrick Glenn Goodman, MD

  • Pain Medicine Physician
  • Tifton, GA
  • NPI 1639392558
  Medicare reassignment Care Compare group NPD
• Don T Smith Jr., MD

  • Anesthesiology Physician
  • Cordele, GA
  • NPI 1053329268
  Medicare reassignment Care Compare group NPD
• Kelley H Plant, NP

  • Nurse Practitioner
  • Tifton, GA
  • NPI 1205114865
  NPD

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1659615540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7083",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317937083",
            "telephone_number": "229-391-2910",
            "fax_number": "229-238-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 KENT RD STE 8",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941697",
            "telephone_number": "229-391-2910",
            "fax_number": "229-386-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR PAIN MANAGEMENT OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "229-238-0265"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "59158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Patrick Cawley, DMD
• Ramona M. Cawley, APRN
• Michelle Tabasa Cayna
• Faustine Ceasor, M.D.
• Center for Family Health and Wellness, LLC
• Central Orthotics, Inc.
• Nandlal Chainani, M.D.
• Navdeepa Chainani, MD
• Tracy Lynn Chason, MD
• Reneasee D Chatfield

• Interventional Pain Medicine Physician in Tifton, GA
• Providers in Tifton, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.