Back to Life Pain Center, LLC
NPI 1982172060 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Woodstock, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1982172060
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Konstantin Tsymbalov, Owner(678) 909-0911
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
7 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
Other names (DBA / former)
- Doing business as
- Back to Life Pain Center
Additional practice locations (1)
- 3459 Acworth Due West Rd NwSuite 117Acworth, GA 30101Phone: (678) 521-1105Fax: (678) 909-0912
Registry dates
- Enumerated
- 2018-11-07
- Last updated
- 2020-08-14
- Certified
- 2020-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.