NPIMap

Organization Active NPI

The Nexus Pain Center of Columbus LLC

  • Pain Medicine (Anesthesiology) Physician
  • Columbus, GA
National Provider Identifier
1942359906
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
THE NEXUS PAIN CENTER OF COLUMBUS LLC
Practice address
7351 Old Moon Rd
Columbus, GA 31909-7291
Phone
(706) 653-7000
Fax
(706) 653-7800
NPI assigned
Jan 9, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sung Chang, MDNPI 1285698738
Title
Owner
Phone
(706) 653-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X GA Primary
Non-Pharmacy Dispensing Site 332900000X NU

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

Other identifiers 1

IdentifierTypeStateIssuer
GRP7932OtherGAMEDICARE GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070208000000 GA Part B Supplier - Clinic/Group Practice 8426050246 Receives reassigned benefits from 17 practitioners
Practice locations: Columbus, GA; Fayetteville, GA; Griffin, GA; Lagrange, GA; McDonough, GA; Newnan, GA; Stockbridge, GA
O20210907002589 GA DME Supplier - Physician - Physical and Rehabilitation 8426050246 Practice locations: Columbus, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1092418Nexus Pain Center of Columbus LLC, the7351 Old Moon Road, Columbus, GA 31909AccreditationJun 10, 2028

National Provider Directory

National Provider Directory

Locations

6400 Bradley Park Dr
Bldg A
Columbus, GA 31904
Phone (706) 653-7000

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

201 Calumet Center Rd
Ste B
Lagrange, GA 30241
Phone (762) 842-0221

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942359906",
    "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": {
        "organization_name": "THE NEXUS PAIN CENTER OF COLUMBUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-653-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "GRP7932",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.