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

Georgia Spine & Pain Centers

Organization Interventional Pain Medicine Physician · NPI 1134769714

Georgia Spine & Pain Centers is an Interventional Pain Medicine Physician in Waycross, Georgia. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1507 Alice St
Waycross, GA 31501-4530
Phone: (912) 590-0973
Fax: (912) 590-0180
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

Record details

NPI number1134769714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Groth — Credentialing Specialist · (904) 223-3321
Other names Georgia Spine & Pain Centers, Llc
NPI enumeratedJanuary 10, 2020
Last updated in NPPESSeptember 2, 2025
Certification dateApril 24, 2025
Mailing address5191 First Coast Tech Pkwy, 3rd Floor, Jacksonville, FL 32224-0609

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