Provider Type Icon

ROYAL PAIN CENTER PC NPI 1396905816


NPI Information

NPI: 1396905816
Provider Name: ROYAL PAIN CENTER PC

Doing Business As: ROYAL PAIN CENTER

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 11D1104611

Address:
2922 PROFESSIONAL PKWY STE A
AUGUSTA, GA
ZIP 30907
Phone: (706) 855-2767
Get Directions

ROYAL PAIN CENTER PC is a pain medicine physical medicine rehabilitation in Augusta, GA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. ROYAL PAIN CENTER PC NPI is 1396905816. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Royal Pain Center.

The provider's business location address is:

2922 PROFESSIONAL PKWY STE A
AUGUSTA, GA
ZIP 30907-532
Phone: (706) 855-2767
Fax: (706) 855-7077

The provider's authorized official is John M Downey .
The authorized official title is Ceo and has the following contact phone number (706) 855-2767.

The CLIA number assigned to this NPI record is 11D1104611 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2008 and was last updated on 2/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100458224AMEDICAIDGEORGIA
21DG31411MEDICAIDSOUTH CAROLINA
3023641OTHERGEORGIABCBS
4E83015MEDICARE UPINGEORGIA
51083607-006OTHERGEORGIACIGNA
6055003702AMEDICAIDGEORGIA
7023641OTHERSOUTH CAROLINABCBS
8031411OTHERGEORGIAMEDICAL LICENSE
91396905816MEDICAIDGEORGIA
10202G701357MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.