My Pain Clinic – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1194900035

My Pain Clinic is a healthcare provider. based in Stockbridge, Georgia. specializing in Pain Medicine (Physical Medicine & Rehabilitation) Physician. They hold a License No. 054116 (GA). The NPI Number for My Pain Clinic is 1194900035

Main info

Organization
Inactive
Name
My Pain Clinic
NPI
1194900035
Phone
(678) 281-6300
Address
1065 JODECO RD
Deactivation Date
15 July 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness80
Years active:0State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for My Pain Clinic

  • Jodeco Road, Stockbridge, Henry County, Georgia, 30281, United States

    STOCKBRIDGE, GA 302814953

    Phone: (678) 281-6300

    Fax: (678) 284-6282

    Type: Mailing

  • Park Place, 4505, Ashford Dunwoody Road Northeast, Atlanta, DeKalb County, Georgia, 30346, United States

    ATLANTA, GA 303461514

    Phone: (770) 288-3311

    Fax: (770) 288-3824

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30281)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for My Pain Clinic?
My Pain Clinic — NPI 1194900035 — is the standard way to identify this listing.
Is My Pain Clinic excluded from programs when inactive?
The public NPI listing for My Pain Clinic is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does My Pain Clinic hold?
Scheduling teams often label My Pain Clinic under Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for My Pain Clinic?
My Pain Clinic's geographic hint is Stockbridge, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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