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

Interventional Pain Specialists of Georgia LLC

Organization Interventional Pain Medicine Physician · NPI 1205698396

Interventional Pain Specialists of Georgia LLC is an Interventional Pain Medicine Physician in Cartersville, 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

650 Henderson Dr Ste 409
Cartersville, GA 30120-3758
Phone: (470) 274-2800
Fax: (800) 501-3088
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 number1205698396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sackdinanh Keomahathai — Owner · (470) 274-2800
NPI enumeratedJanuary 25, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address650 Henderson Dr Ste 409, Cartersville, GA 30120-3758

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