CENTURION SPINE & PAIN CENTERS
NPI 1902852130
Pain Medicine - Interventional Pain Medicine in Brunswick, GA
NPI Status: Active since May 26, 2006
Contact Information
3408 TROUT ST
BRUNSWICK, GA
ZIP 31520
Phone: (912) 466-9111
Fax: (912) 466-0366
- Organization
- Pain Medicine
- Interventional Pain Medicine
- Accepts Insurance
- CLIA Number: 11D2248990
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-17-2026
About CENTURION SPINE & PAIN CENTERS
This page provides the complete NPI Profile along with additional information for Centurion Spine & Pain Centers, a provider established in Brunswick, Georgia operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1902852130 assigned on May 2006. The practitioner's primary taxonomy code is 208VP0014X with license number 041205 (GA). The provider is registered as an organization and their NPI record was last updated 2 years ago. Centurion Spine & Pain Centers operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Centurion Spine & Pain Centers. The authorized official of this NPI record is Alicia Groth (ao) (Credentialing)
- NPI
- 1902852130
- Provider Legal Name
- CONSULTANTS IN PAIN MEDICINE, LLC
- Other Organization Name
- CENTURION SPINE & PAIN CENTERS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3408 TROUT ST BRUNSWICK, GA 31520
- Location Phone
- (912) 466-9111
- Location Fax
- (912) 466-0366
- Mailing Address
- 5191 FIRST COAST TECH PKWY FL 3 JACKSONVILLE, FL 32224
- Mailing Phone
- (904) 256-2754
- Mailing Fax
- (912) 466-0366
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-26-2006
- Last Update Date
- 06-27-2023
- Code Navigator
Location Map
Secondary Locations
- 200 Blue Moon Xing Ste 203
Pooler, GA 31322
(912) 254-7896 - 195 E Tollison St
Baxley, GA 31513
(912) 590-0973 - 1218 Alice St
Waycross, GA 31501
(912) 590-0973
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 041205
- License State
- GA
- Taxonomy Description
- Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | 041205 (GA) |
| 2 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | 041205 (GA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2248990
- Facility Type
- Physician Office
- Certificate Effective Date
- January 18, 2024
- Certificate Expiration Date
- January 17, 2026
- Laboratory Director
- HOLLY METZGER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Centurion Spine & Pain Centers to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CENTURION SPINE & PAIN CENTERS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 0 | 2 | 8 | 5 | 2 | 1 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 16 | 5 | 4 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 1 + 6 + 5 + 4 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1902852130 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891883765 | DR. KEVIN DON COYLE MB BCH BAO LRCPSI Individual | Pain Medicine (Interventional Pain Medicine) | 3408 TROUT ST BRUNSWICK, GA 31520 (912) 466-9111 |
| 1073935896 | MRS. AMANDA RALPH APRN Individual | Nurse Practitioner | 3408 TROUT ST BRUNSWICK, GA 31520 (912) 466-9111 |
| 1215177522 | LAURA RACHEL BISHOP PA-C Individual | Physician Assistant | 3408 TROUT ST BRUNSWICK, GA 31520 (912) 466-9111 |
| 1720213093 | EMMANUEL GAGE Individual | Pain Medicine (Interventional Pain Medicine) | 3408 TROUT ST BRUNSWICK, GA 31520 (912) 590-0973 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902852130, enumerated in the NPI registry as an "organization" on May 26, 2006
The provider is located at 3408 Trout St Brunswick, Ga 31520 and the phone number is (912) 466-9111
This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D2248990 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.