Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centers for Pain Management of Georgia LLC

Organization Interventional Pain Medicine Physician · NPI 1659615540

Centers for Pain Management of Georgia LLC is an Interventional Pain Medicine Physician in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

39 Kent Rd Ste 8
Tifton, GA 31794-1697
Phone: (229) 391-2910
Fax: (229) 386-4770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 59158 (GA)

Record details

NPI number1659615540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Misty Hooks — Billing/Credentialing Supervisor · (229) 238-0265
NPI enumeratedNovember 16, 2012
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021
Mailing addressPo Box 7083, Tifton, GA 31793-7083

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