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

Jefferson Pain Clinic Inc

Organization Pain Medicine Physician · NPI 1710156393

Jefferson Pain Clinic Inc is a Pain Medicine Physician in Jefferson, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1351 Washington St
Jefferson, GA 30549-2879
Phone: (706) 387-0027
Fax: (706) 387-0073
Show map & directions

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

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 032558 (GA)

Record details

NPI number1710156393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ahmad Ghadamyari — President · (706) 387-0027
NPI enumeratedFebruary 27, 2008
Last updated in NPPESFebruary 27, 2008
Mailing addressPo Box 680904, Marietta, GA 30068-0016