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

Georgia Interventional Pain - S, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1417764572

Georgia Interventional Pain - S, LLC is an Ambulatory Surgical Clinic/Center in Austell, Georgia. Registered with an NPI since 2024.

In the registry since
2024
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

3825 Medical Park Dr Ste 302
Austell, GA 30106-6831
Phone: (770) 962-3642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1417764572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amit Patel — Ceo · (770) 962-3642
NPI enumeratedDecember 12, 2024
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768

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