Lakeside Pain Center, P.C.
NPI 1477566727 · Interventional Pain Medicine Physician · Bloomingdale, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Pain Center, P.C. is a Interventional Pain Medicine Physician organization in Bloomingdale, GA (NPI 1477566727).
Provider details
- NPI number
- 1477566727
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dwayne Clay, MD(478) 475-9220
- License
- 042215 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 125 Plantation Centre Dr S Ste 750aMacon, GA 31210-2091Phone: (478) 475-9220
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Frequently asked questions
- What is Lakeside Pain Center, P.C.'s NPI number?
- Lakeside Pain Center, P.C.'s National Provider Identifier (NPI) is 1477566727, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Pain Center, P.C.?
- Lakeside Pain Center, P.C. is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Pain Center, P.C. located?
- Lakeside Pain Center, P.C.'s practice location on file with NPPES is 701 E US Highway 80 Ste C, Bloomingdale, GA 31302-0078.
- What is Lakeside Pain Center, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Lakeside Pain Center, P.C. is (478) 475-9220.
- Does Lakeside Pain Center, P.C. accept Medicare?
- Lakeside Pain Center, P.C. 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 Lakeside Pain Center, P.C.?
- The authorized official listed on Lakeside Pain Center, P.C.'s NPPES record is Dwayne Clay, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Pain Center, P.C.'s NPI active?
- Yes — Lakeside Pain Center, P.C.'s NPI (1477566727) is active in the NPPES registry as of the last update on 2026-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.