Spine Center of Southeast Georgia LLC
NPI 1639270903ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Brunswick, GA
Pain Medicine, Interventional Pain Medicine in Brunswick, Georgia, registered in NPPES in September 2006. The authorized official on file is Shaneka Tinch, Rcm Manager. Enrolled in Medicare as dme supplier - physician - unknown physician specialty and part b supplier - clinic/group practice.
Overview
| NPI | 1639270903 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2006 |
| Last updated in NPPES | Dec 8, 2025 |
| Certified by provider | Dec 8, 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) | Enrolled DME Supplier - Physician - Unknown Physician Specialty (GA); Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Pain Medicine, Interventional Pain Medicine providers in Brunswick
- 1902852130
- 1902769912
- 1013012947
- 1891806345
- 1225395718
- 1447490776
- 1891883765
- 1720213093
- 1841387115
All Pain Medicine, Interventional Pain Medicine providers in Georgia →