Lanier Interventional Pain Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LANIER INTERVENTIONAL PAIN CENTER, LLC

Practice address

2335 Limestone Overlook
Gainesville, GA 30501-7443

Phone

(770) 297-0356

Fax

(770) 297-7564

NPI assigned

Nov 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John L. Givogre, M.D.NPI 1740263011

Title

Managing Member

Phone

(770) 297-0356

Specialties & licenses 1

Addresses

Other names 1

• LIPC Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Lanier Interventional Pain Center, LLC

  • Interventional Pain Medicine Physician
  • Gainesville, GA
  • NPI 1528041803

  9436129962

  Same PAC ID

Listed as

Lanier Interventional Pain Center LLCCCN 11C0001354

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 4

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

• John Lee Givogre, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Gainesville, GA
  • NPI 1740263011
  NPD Authorized official
• Tyler Kabes, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Fort Myers, FL
  • NPI 1720433881

  GA

  Medicare reassignment
• Jesica Lyn Ellison, FNP-C

  • Family Nurse Practitioner
  • Gainesville, GA
  • NPI 1194242636
  NPD
• Jennifer Lynn Smith, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Cumming, GA
  • NPI 1861169211
  NPD

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1669700241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 LIMESTONE OVERLOOK",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017443",
            "telephone_number": "770-297-0356",
            "fax_number": "770-297-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 LIMESTONE OVERLOOK",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017443",
            "telephone_number": "770-297-0356",
            "fax_number": "770-297-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANIER INTERVENTIONAL PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "GIVOGRE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "770-297-0356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIPC Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LIPC Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lanier Eye Associates, LLC
• Lanier Eye Associates, LLC
• Lanier Foot and Ankle LLC
• Lanier Health Link
• Lanier Interventional Pain Center, LLC
• Lanier OB GYN Associates 2 LLC
• Lanier Obstetrics and Gynecology Associates
• Lanier Orthodontics PA
• Lanier Pharmacy Acquisition Corp.
• Lanier Pharmacy, LLC

• Ambulatory Surgical Clinic/Center in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.