Jeremy Jacob Prine (NPI# 1508000332, PAC ID# 4486871084) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1508000332 |
| PAC ID by PECOS | 4486871084 |
| Professional Enrollment ID | I20140805001900 |
| Full Name | Jeremy Jacob Prine |
| Organization Legal Name | THE NEXUS PAIN CENTER OF HOUSTON COUNTY LLC |
| Address |
230 Industrial Blvd Suite B Dublin GA 31021-2904 |
| Phone Number | 4784742947 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2009 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 0648281519 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110069 | HOUSTON MEDICAL CENTER |
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| Address | Phone | Organization |
|---|---|---|
| 230 Industrial Blvd, Suite B, Dublin, GA 31021-2904 | 4784742947 | THE NEXUS PAIN CENTER OF HOUSTON COUNTY LLC |
| 230 Sheraton Blvd, Suite A, Macon, GA 31210-1358 | 4784742947 | THE NEXUS PAIN CENTER OF HOUSTON COUNTY LLC |
| 100 Jim Mason Ct, Suite A, Warner Robins, GA 31088-8965 | 4784742947 | THE NEXUS PAIN CENTER OF HOUSTON COUNTY LLC |
| Organization Legal Name | THE NEXUS PAIN CENTER OF HOUSTON COUNTY LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey Daniel Clark | Nurse Practitioner | The Nexus Pain Center of Houston County LLC | 100 Jim Mason Ct, Suite A, Warner Robins, GA 31088-8965 |
| Bryan P Covert | Interventional Pain Management | The Nexus Pain Center of Houston County LLC | 230 Industrial Blvd, Suite B, Dublin, GA 31021-2904 |
| Sagar A Patel | Interventional Pain Management | The Nexus Pain Center of Houston County LLC | 230 Industrial Blvd, Suite B, Dublin, GA 31021-2904 |
| Haley Scruggs | Nurse Practitioner | The Nexus Pain Center of Houston County LLC | 100 Jim Mason Ct, Suite A, Warner Robins, GA 31088-8965 |
| Chandresh V Viradia | Interventional Pain Management | The Nexus Pain Center of Houston County LLC | 230 Industrial Blvd, Suite B, Dublin, GA 31021-2904 |
| Stephanie Burris | Nurse Practitioner | The Nexus Pain Center of Houston County LLC | 100 Jim Mason Ct, Suite A, Warner Robins, GA 31088-8965 |
| Vijay Thillainathan | Interventional Pain Management | The Nexus Pain Center of Houston County LLC | 230 Industrial Blvd, Suite B, Dublin, GA 31021-2904 |
| Street Address |
230 INDUSTRIAL BLVD SUITE B |
| City | DUBLIN |
| State | GA |
| Zip | 31021-2904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan P Covert | Interventional Pain Management | The Nexus Pain Center of Houston County LLC | 230 Industrial Blvd, Suite B, Dublin, GA 31021-2904 |
| Sagar A Patel | Interventional Pain Management | The Nexus Pain Center of Houston County LLC | 230 Industrial Blvd, Suite B, Dublin, GA 31021-2904 |
| Jason Bradford Smaha | Podiatry | Associated Foot and Ankle Centers LLC | 230 Industrial Blvd, Dublin, GA 31021-2904 |
| Chandresh V Viradia | Interventional Pain Management | The Nexus Pain Center of Houston County LLC | 230 Industrial Blvd, Suite B, Dublin, GA 31021-2904 |
| Carol Smaha | Podiatry | Associated Foot and Ankle Centers LLC | 230 Industrial Blvd, Dublin, GA 31021-2904 |
| Vijay Thillainathan | Interventional Pain Management | The Nexus Pain Center of Houston County LLC | 230 Industrial Blvd, Suite B, Dublin, GA 31021-2904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D Taylor | Geriatric Medicine | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Chaquita M Moore | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Amanda K Smith | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Shelley H Pool | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Laura D Mullis | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Jane B Holleman | Physical Therapy | 612 Country Club Rd, Dublin, GA 31021-0112 | |
| William Alfred Cox | Optometry | 2423 Us Hwy 80 W, C/o The Vision Center, Dublin, GA 31021-0930 | |
| Melissa F Gay | Qualified Audiologist | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Matthew B Grundfast | Gastroenterology | Gastroenterology Associates of Dublin LLC | 104 Fairview Park Dr, Dublin, GA 31021-2500 |
| Thomas Corbin Mullis | Otolaryngology | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Find all physicians in zip 31021 | |||
| City | DUBLIN |
| Zip Code | 31021 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | DUBLIN + PAIN MANAGEMENT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.