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MD PAIN CARE P.C. NPI 1336201664


NPI Information

NPI: 1336201664
Provider Name: MD PAIN CARE, P.C.

Former Legal Business Name: COVINGTON ANESTHESIA ASSOCIATES

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
1301 SIGMAN RD
SUITE 100
CONYERS, GA
ZIP 30012
Phone: (770) 760-9360
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MD PAIN CARE, P.C. is a pain medicine anesthesiology in Conyers, GA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. MD PAIN CARE, P.C. NPI is 1336201664. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Covington Anesthesia Associates.

The provider's business location address is:

1301 SIGMAN RD
SUITE 100
CONYERS, GA
ZIP 30012-515
Phone: (770) 760-9360
Fax: (770) 760-9303

The provider's authorized official is R L Talley .
The authorized official title is President and has the following contact phone number (770) 760-9360.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 12/19/2012.


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
1207LP2900XAnesthesiologyPain MedicineYes

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
1300028514MEDICAIDGEORGIA
2GRP254MEDICARE 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

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