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

Pain Treatment Centers of Georgia LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1447945407

Pain Treatment Centers of Georgia LLC is a Pain Medicine (Anesthesiology) Physician in Jesup, Georgia. Registered with an NPI since 2023.

In the registry since
2023
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

1907 Sunset Blvd
Jesup, GA 31545-7813
Phone: (912) 910-3777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1447945407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vadim Petrov-Kondratov — Physician Owner · (912) 910-3777
NPI enumeratedApril 6, 2023
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address604 W Oglethorpe Hwy, Hinesville, GA 31313-4415

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