Active NPI
Pain Management & Rehabilitation Specialists, PC
- Non-Pharmacy Dispensing Site
- Evans, GA
National Provider Identifier
1750859336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- PAIN MANAGEMENT & REHABILITATION SPECIALISTS, PC
- Practice address
- 4409 Evans to Locks Rd
Evans, GA 30809-3603 - Phone
- (706) 396-7671
- Fax
- (706) 228-4692
- NPI assigned
- Nov 13, 2018
- 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
- Kristen Covington
- Title
- Office Manager
- Phone
- (706) 396-7671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
4409 Evans to Locks Rd
Evans, GA 30809-3603
Mailing address
4409 Evans to Locks Rd
Evans, GA 30809-3603
Phone (706) 396-7671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6382350001 | Other | GA | DME PTAN |
National Provider Directory
National Provider Directory- Tax ID family
- Pain Management Rehab Specialists
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba PM&R Specialists, PC
- Pain Medicine Physician
- Evans, GA
- NPI 1437176419
Practitioners & affiliated clinicians
Practitioners 2
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 (Physical Medicine & Rehabilitation) Physician
- Evans, GA
- NPI 1235131525
-
- Physical Medicine & Rehabilitation Physician
- Evans, GA
- NPI 1134121411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1750859336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4409 EVANS TO LOCKS RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308093603",
"telephone_number": "706-396-7671",
"fax_number": "706-228-4692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4409 EVANS TO LOCKS RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308093603",
"telephone_number": "706-396-7671",
"fax_number": "706-228-4692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT & REHABILITATION SPECIALISTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-13",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "COVINGTON",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-396-7671"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME PTAN",
"identifier": "6382350001",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.