Premier Interventional Pain Management & Anesthesiology, P.a.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

048175 Issued in GA

Legal business name

PREMIER INTERVENTIONAL PAIN MANAGEMENT & ANESTHESIOLOGY, P.A.

Practice address

2406 Bemiss Rd Ste C
Valdosta, GA 31602-1996

Phone

(229) 293-9555

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By 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. Sunil Terry Persaud, M.D.NPI 1851427140

Title

Officer

Phone

(229) 293-9555

Specialties & licenses 1

Addresses

Other names 1

• PREMIER PAIN MANAGEMENT Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Sunil Terry Persaud, MD

  • Pain Medicine (Anesthesiology) Physician
  • Valdosta, GA
  • NPI 1851427140
  Medicare reassignment NPD Authorized official
• Thomas James Williams, NP-C

  • Gerontology Nurse Practitioner
  • Valdosta, GA
  • NPI 1639627029
  Medicare reassignment NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962627588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 KILARNEY CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316020815",
            "telephone_number": "229-293-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 BEMISS RD STE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021996",
            "telephone_number": "229-293-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERVENTIONAL PAIN MANAGEMENT & ANESTHESIOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "229-293-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "048175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER PAIN MANAGEMENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela W Powell, ARNP
• Patrick W. Powell
• Brittany Elise Pratt
• Shaleta Preaster, LCSW
• Premier Choice Health Services, LLC
• Premise Health of Georgia Medical PC (City of Valdosta)
• Premise Health of Georgia Medical PC (My Health Center at Lowe's Valdosta)
• Catherine Ann Price, PMHNP-BC
• Jennifer Paige Price, PHARMD
• Kayla Marie Neely Price

• Pain Medicine Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.