GEORGIA INTERVENTIONAL PAIN - B LLC NPI 1285083477

NPI Information

  • NPI: 1285083477
  • Provider Name: GEORGIA INTERVENTIONAL PAIN - B LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1255 FRIENDSHIP RD STE 140
    BRASELTON, GA
    ZIP 30517
  • Phone: (770) 962-3642

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NPI Details

GEORGIA INTERVENTIONAL PAIN - B LLC is an ambulatory surgical clinic center in Braselton, GA. GEORGIA INTERVENTIONAL PAIN - B LLC NPI is 1285083477. The provider is registered as an organization entity type.

The provider's business location address is:

1255 FRIENDSHIP RD STE 140
BRASELTON, GA
ZIP 30517-617
Phone: (770) 962-3642
Fax: (770) 962-3643

The provider's authorized official is Amit Patel .
The authorized official title is Medical Director and has the following contact phone number (757) 618-5889.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)

The enumeration date for this NPI number is 6/8/2016 and was last updated on 1/13/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

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