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

Georgia Interventional Pain LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1245654615

Georgia Interventional Pain LLC is an Ambulatory Surgical Clinic/Center in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
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

455 Philip Blvd Ste 138
Lawrenceville, GA 30046-8767
Phone: (770) 962-3642
Fax: (770) 962-3642
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 62929 (GA)

Record details

NPI number1245654615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amit Patel — Medical Director · (757) 618-5889
NPI enumeratedFebruary 5, 2014
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023
Mailing address455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768

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