Individual provider Active NPI

Jeffrey Robert Prinsell Jr.

  • Interventional Pain Medicine Physician
  • Columbus, GA
National Provider Identifier
1891937934
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
071553 Issued in GA
Practice address
7351 Old Moon Rd
Columbus, GA 31909-7291
Phone
(706) 653-7000
Fax
(706) 653-7800
NPI assigned
Apr 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 071553 GA Primary
Pain Medicine Physician 208VP0000X 071553 GA
Pain Medicine (Anesthesiology) Physician 207LP2900X 071553 GA

Addresses

Primary practice location

7351 Old Moon Rd
Columbus, GA 31909-7291

Mailing address

7351 Old Moon Rd
Columbus, GA 31909-7291
Phone (706) 653-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140918001418 GA Practitioner - Interventional Pain ManagementPractitioner - Pain Management 2466671748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nexus Pain Center of Columbus LLCGroup PAC ID 8426050246, 17 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

7351 Old Moon Rd
Columbus, GA 31909-7291
Phone (706) 653-7000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7351GAMDGeneral Practice Dentistry
071553GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nexus Pain Center of Columbus LLC Pain Medicine CurrentSince Jun 1, 2014 Accepting new patients
Novamed Surgery Center of Columbus, LLC Past Accepting new patients
Spectrum Anesthesia, LLC Past Accepting new patients

Locations

7351 Old Moon Rd
Columbus, GA 31909
Phone (706) 221-2721

7351 Old Moon Rd
Ste C
Columbus, GA 31909
Phone (706) 653-7000

1260 Highway 54 W
Ste 101
Fayetteville, GA 30214
Phone (770) 460-4644

616 S 8th St
#A
Griffin, GA 30224
Phone (770) 233-8570

1015 Lafayette Pkwy
Ste 100
Lagrange, GA 30241
Phone (762) 842-0221

2340 Patrick Henry Pkwy
Ste 150
McDonough, GA 30253
Phone (678) 671-3100

775 Poplar Rd
Ste 350
Newnan, GA 30265
Phone (470) 419-4380

165 Northpark Trl
Stockbridge, GA 30281
Phone (770) 506-1800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1891937934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 OLD MOON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097291",
            "telephone_number": "706-653-7000",
            "fax_number": "706-653-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 OLD MOON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097291",
            "telephone_number": "706-653-7000",
            "fax_number": "706-653-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINSELL",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "071553",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "071553",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "071553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.