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

Pain Treatment Centers of Georgia LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1447945407

Pain Treatment Centers of Georgia LLC provides Pain Medicine (Anesthesiology) Physician services in Jesup, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1907 Sunset Blvd
Jesup, GA 31545-7813
Phone: (912) 910-3777
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1447945407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vadim Petrov-Kondratov — Physician Owner · (912) 910-3777
NPI enumeratedApril 6, 2023
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address604 W Oglethorpe Hwy, Hinesville, GA 31313-4415

Other providers in Jesup