Harbor Interventional Pain Center, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

HARBOR INTERVENTIONAL PAIN CENTER, LLC

Practice address

4849 Paulsen St Ste 312
Savannah, GA 31405-4426

Phone

(413) 218-1201

NPI assigned

Mar 31, 2022

Last updated

Mar 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Lester Lacy, MD

Title

Principal

Phone

(413) 218-1201

Specialties & licenses 1

Addresses

Other names 1

• Harbor Interventional Pain Center, LLC Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1710627237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S TRAIL WAY # B9",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229815",
            "telephone_number": "413-218-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST STE 312",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054426",
            "telephone_number": "413-218-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR INTERVENTIONAL PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "413-218-1201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@harboripc.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4849 Paulsen St Ste 312",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314054426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Harbor Interventional Pain Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pain Medicine (Anesthesiology) Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Pain Medicine (Anesthesiology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.