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

Lakeside Pain Center, PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1477566727

Lakeside Pain Center, PC is a Physical Medicine & Rehabilitation Physician in Bloomingdale, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

701 E US Highway 80 Ste C
Bloomingdale, GA 31302-0078
Phone: (478) 475-9220
Fax: (478) 475-9201
Show map & directions

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

Additional practice locations (1)

  • 125 Plantation Centre Dr S Ste 750a, Macon, GA 31210-2091 — (478) 475-9220

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 042215 (GA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 042215 (GA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 042215 (GA)

Record details

NPI number1477566727
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwayne Clay — Md · (478) 475-9220
NPI enumeratedAugust 15, 2006
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address701 E Us Highway 80 Ste C, Bloomingdale, GA 31302-0078