THE NEXUS PAIN CENTER OF HOUSTON COUNTY LLC (NPI# 1871681957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871681957 |
| Entity Type | Organization |
| Organization Name | THE NEXUS PAIN CENTER OF HOUSTON COUNTY LLC |
| Other Organization Name | AXIS PAIN CENTER |
| Practice Address |
100 Jim Mason Ct Ste A Warner Robins GA 31088-8965 |
| Practice Telephone | 4784742947 |
| Practice Fax Number | 4789714004 |
| Mailing Telephone | 4789714001 |
| Mailing Fax Number | 4789714004 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-10-22 |
| Authorized Official Name | CHANDRESH VIRADIA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4789714001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 63082 | GA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Axis Pain Center | Doing Business As Name - Organization |
| Street Address |
100 JIM MASON CT STE A |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-8965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538117015 | Chandresh Vithal Viradia | Anesthesiology | 100 Jim Mason Ct, Warner Robins, GA 31088-8965 | 2006-05-05 |
| 1851748602 | Ylencia D Jackson | Nurse Practitioner | 100 Jim Mason Ct, Ste A, Warner Robins, GA 31088-8965 | 2016-05-23 |
| 1073955597 | Christi Ambrose Mcpherson | Nurse Practitioner | 100 Jim Mason Ct, Warner Robins, GA 31088-8965 | 2013-07-25 |
| 1023304961 | Bryan Peter Covert | Anesthesiology | 100 Jim Mason Ct, Warner Robins, GA 31088-8965 | 2011-06-20 |
| 1972803898 | Lakeview Surgery Center, LLC | Clinic/Center | 100 Jim Mason Ct, Suite B, Warner Robins, GA 31088-8965 | 2010-10-26 |
| 1235363813 | Sagar A Patel | Anesthesiology | 100 Jim Mason Ct, Ste A, Warner Robins, GA 31088-8965 | 2009-05-11 |
| 1730392093 | Vijay Thillainathan | Anesthesiology | 100 Jim Mason Ct, Warner Robins, GA 31088-8965 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629423751 | Santresa Weldon | Specialist | 105 Renoir Ln, Warner Robins, GA 31088-6321 | 2016-04-26 |
| 1134471097 | Patti S Carriker | Specialist | 114 Constitution Dr, Warner Robins, GA 31088-8001 | 2012-10-02 |
| 1649521535 | Leigh Ann Allen | Specialist | 114 Constitution Dr Ste 800, Warner Robins, GA 31088-8001 | 2012-10-02 |
| 1750586301 | North Houston Medical Clinic | Specialist | 707 N Houston Rd, Warner Robins, GA 31093-2101 | 2007-06-15 |
| 1629142781 | Melissa R Scarboro | Specialist | 110 Osigian Blvd, Warner Robins, GA 31088-7880 | 2006-11-20 |
| 1649267667 | William E Freeman | Specialist | 136 S Houston Lake Rd, Warner Robins, GA 31088-6300 | 2005-10-04 |
| 1174528673 | Barry Mcleod-hughes | Specialist | 624 S Houston Lake Rd, Warner Robins, GA 31088-9017 | 2005-06-20 |
| 1578097267 | Warner Robins Ob/gyn 2, LLC | Specialist | 225 Smithville Church Rd, Suite 1100, Warner Robins, GA 31088-9092 | 2017-04-19 |
| 1598185837 | Rebekah Wright | Specialist | 201 Corder Rd, Warner Robins, GA 31088-3603 | 2014-04-25 |
| 1972949360 | Fatima Edemburgo | Specialist | 114 Constitution Dr, Warner Robins, GA 31088-8001 | 2013-05-13 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on THE NEXUS PAIN CENTER OF HOUSTON COUNTY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.