Georgia Spine & Pain Centers
NPI 1134769714ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Waycross, GA
Pain Medicine, Interventional Pain Medicine in Waycross, Georgia, registered in NPPES in January 2020. The authorized official on file is Alicia M. Groth, Credentialing Specialist.
Overview
| NPI | 1134769714 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2020 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Apr 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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