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

Fx Spine and Performance Center, LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1558970640

Fx Spine and Performance Center, LLC is a Pain Medicine (Anesthesiology) Physician in Evans, Georgia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

106 Srp Dr Ste B
Evans, GA 30809-4358
Phone: (706) 842-6800
Fax: (706) 842-6780
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Pain Clinic/Center Taxonomy 261QP3300X

Record details

NPI number1558970640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Deangelo — President · (717) 557-5926
NPI enumeratedJuly 24, 2020
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020
Mailing address824 Kestrel Dr, Evans, GA 30809-0328

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