Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jefferson Pain Clinic Inc

Organization Pain Medicine Physician · NPI 1710156393

Jefferson Pain Clinic Inc provides Pain Medicine Physician services in Jefferson, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1351 Washington St
Jefferson, GA 30549-2879 Not confirmed with CMS for 18 years — call before visiting
Phone: (706) 387-0027
Fax: (706) 387-0073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 032558 (GA)

Record details

NPI number1710156393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ahmad Ghadamyari — President · (706) 387-0027
NPI enumeratedFebruary 27, 2008
Last updated in NPPESFebruary 27, 2008
Mailing addressPo Box 680904, Marietta, GA 30068-0016