TDI PAIN – NPI #1609143502
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

TDI PAIN is a provider located in LAGRANGE, GA. NPPES has assigned the NPI number 1609143502 to TDI PAIN on November 20, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TDI PAIN” is a dba name, the actual legal business name for this organization is TOTAL DIAGNOSTIC AND INTERVENTIONAL PAIN PC. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 7 years ago on Jan 11, 2019. 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 TDI PAIN below.

NPI Profile for
TOTAL DIAGNOSTIC AND INTERVENTIONAL PAIN PC

NPI Number
1609143502
Enumeration Date

(more than 14 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
TOTAL DIAGNOSTIC AND INTERVENTIONAL PAIN PC
Doing Business As (dba): TDI PAIN
Primary location
1075 LAFAYETTE PKWY
STE 100
LAGRANGE, GA 30241-3584
Phone: (706) 443-5273 Fax: (706) 443-5275
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVIN MITCHELL
PHYSICIAN
Phone: (706) 845-9370
Updated
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
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
GA 63786

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.