Physicians Institute For Pain Management Asc, LLC
Clinic/Center, Ambulatory Surgical in Valdosta, GA. Organization (NPI-2).
NPI number1457770547
StatusActive
Last updated in NPPESApr 16, 2014
Details
- NPI
- 1457770547
- Entity type
- Organization (NPI-2)
- Legal business name
- Physicians Institute For Pain Management Asc, LLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2014
- Last updated
- Apr 16, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 33806 | GA | Yes |
Practice location
3312 N Oak Street Ext Ste FValdosta, GA 31605-1065
Phone 229-247-3300
Mailing address
3312 N Oak St Ext Suite FValdosta, GA 31602
Phone 229-247-3300
Authorized official
James H Campagna
MD/Owner
2292473300
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