NPI age
4 years
Enumerated 2021-12-14
● Active Type 2 · Organization
Subpart
Consultants In Pain Medicine, Llc
Consultants In Pain Medicine, Llc is 1 of 315 pain medicine organizations in Georgia.
Primary specialty
Pain Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Groth
Credentialing
Last NPPES update
2021-12-14
Source: monthly bulk 2026-05
How this organization compares
Across 315 active pain medicine providers in Georgia.
NPI age
4 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-12Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
200 Blue Moon Xing Ste 203
Pooler, GA 313229698
Mailing address
10475 Centurion Pkwy N Ste 201
Jacksonville, FL 322565004
Authorized official
Alicia Groth
Credentialing
📞 9042233321
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Mallory Chiang Physician Assistant NPI 1174387773
- Doris Cope, MD Pain Medicine NPI 1376515932
- Salaethia Crawford Nurse Practitioner NPI 1144699943
- Andrew Pandya, MD Pain Medicine NPI 1457320566
- Kerry Shuffelbottom, PA-C Physician Assistant NPI 1902102676
- Kaelyn Turlington, FNP-C Nurse Practitioner NPI 1932951134
Specialties
-
Pain Medicine PrimaryInterventional 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Centurion Spine & Pain Centers
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
Subpart of Consultants In Pain Medicine, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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