Spine Center of Southeast Georgia LLC
NPI 1639270903 · Interventional Pain Medicine Physician · Brunswick, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spine Center of Southeast Georgia LLC is a Interventional Pain Medicine Physician organization in Brunswick, GA (NPI 1639270903).
Provider details
- NPI number
- 1639270903
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shaneka Tinch, Rcm Manager(469) 458-9222
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Former legal business name
- Brunswick Pain Clinic
- Former legal business name
- Brunswick Pain Clinic
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Frequently asked questions
- What is Spine Center of Southeast Georgia LLC's NPI number?
- Spine Center of Southeast Georgia LLC's National Provider Identifier (NPI) is 1639270903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spine Center of Southeast Georgia LLC?
- Spine Center of Southeast Georgia LLC is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Spine Center of Southeast Georgia LLC located?
- Spine Center of Southeast Georgia LLC's practice location on file with NPPES is 1111 Glynco Pkwy, Brunswick, GA 31525-7921.
- What is Spine Center of Southeast Georgia LLC's phone number?
- The practice phone number listed in the NPPES registry for Spine Center of Southeast Georgia LLC is (912) 262-6552.
- Does Spine Center of Southeast Georgia LLC accept Medicare?
- Spine Center of Southeast 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 Spine Center of Southeast Georgia LLC?
- The authorized official listed on Spine Center of Southeast Georgia LLC's NPPES record is Shaneka Tinch, Rcm Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spine Center of Southeast Georgia LLC's NPI active?
- Yes — Spine Center of Southeast Georgia LLC's NPI (1639270903) is active in the NPPES registry as of the last update on 2025-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.