BRUNSWICK PAIN TREATMENT CENTER, LLC – NPI #1154422541
Clinic/Center

BRUNSWICK PAIN TREATMENT CENTER, LLC is an AHC clinic located in BRUNSWICK, GA. NPPES has assigned the NPI number 1154422541 to BRUNSWICK PAIN TREATMENT CENTER, LLC on September 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Dec 08, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRUNSWICK PAIN TREATMENT CENTER, LLC below.

NPI Profile for
BRUNSWICK PAIN TREATMENT CENTER, LLC

NPI Number
1154422541
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRUNSWICK PAIN TREATMENT CENTER, LLC
Primary location
1111 GLYNCO PKWY
3RD FLOOR
BRUNSWICK, GA 31525
Phone: (912) 262-6552 Fax: (912) 262-0112
Mailing address
4960 SW 72ND AVE STE 405
MIAMI, FL 33155-5506
Phone: (469) 458-9222 Fax: (540) 918-7202
Organization Subpart
No
Authorized Official
SHANEKA TINCH
RCM MANAGER
Phone: (469) 458-9222
Updated
Certification Date
Dec 08, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BRUNSWICK PAIN TREATMENT CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE RAILROADGAP00200372
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 GA 0411782

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.