Pain Treatment Centers of Georgia LLC
NPI 1134909542 · Pain Clinic/Center · Richmond Hill, GA
Enrolled with Medicare as Dme Supplier - Physician - Interventional Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pain Treatment Centers of Georgia LLC is a Pain Clinic/Center organization in Richmond Hill, GA (NPI 1134909542).
Provider details
- NPI number
- 1134909542
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vadim Petrov-Kondratov, Physician Owner(912) 910-3777
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-03
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Frequently asked questions
- What is Pain Treatment Centers of Georgia LLC's NPI number?
- Pain Treatment Centers of Georgia LLC's National Provider Identifier (NPI) is 1134909542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pain Treatment Centers of Georgia LLC?
- Pain Treatment Centers of Georgia LLC is classified in the NPPES registry as Pain Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pain Treatment Centers of Georgia LLC located?
- Pain Treatment Centers of Georgia LLC's practice location on file with NPPES is 3760 US Highway 17 Unit 11, Richmond Hill, GA 31324-3378.
- What is Pain Treatment Centers of Georgia LLC's phone number?
- The practice phone number listed in the NPPES registry for Pain Treatment Centers of Georgia LLC is (912) 910-3777.
- Does Pain Treatment Centers of Georgia LLC accept Medicare?
- Pain Treatment Centers of Georgia LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pain Treatment Centers of Georgia LLC?
- The authorized official listed on Pain Treatment Centers of Georgia LLC's NPPES record is Vadim Petrov-Kondratov, Physician Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pain Treatment Centers of Georgia LLC's NPI active?
- Yes — Pain Treatment Centers of Georgia LLC's NPI (1134909542) is active in the NPPES registry as of the last update on 2024-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.