Pain Treatment Centers of Georgia LLC
NPI 1619702792 · Clinic/Center · Savannah, 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 Clinic/Center organization in Savannah, GA (NPI 1619702792).
Provider details
- NPI number
- 1619702792
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vadim Petrov-Kondratov, Owner(912) 910-3777
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pain Clinic/Center261QP3300X
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
- 2024-09-06
- Last updated
- 2024-09-06
- Certified
- 2024-09-06
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 1619702792, 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 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 6606 Abercorn St, Savannah, GA 31405-5817.
- 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, 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 (1619702792) is active in the NPPES registry as of the last update on 2024-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.