MEDICARE: THE CENTER FOR PAIN OF MONTGOMERY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208100000X	Physical Medicine & Rehabilitation Physician
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
3	208VP0000X	Pain Medicine Physician
4	208VP0014X	Interventional Pain Medicine Physician
5	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1871469239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CENTER FOR PAIN OF MONTGOMERY LLC

Provider Business Mailing Address
First Line	:	201 DEFENSE HWY STE 205
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7096
Country	:	US
Telephone Number	:	855-527-7246
Fax Number	:	866-229-5063

Provider Business Practice Location Address
First Line	:	1538 13TH AVE STE B150
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-2566
Country	:	US
Telephone Number	:	855-527-7246
Fax Number	:	833-905-2461

Authorized Official
Title or Position	:	SR. VICE PRESIDENT
Name	:	BRITNI CULLEN
Credential	:
Telephone Number	:	443-837-9913

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	10/14/2025

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Directions to “THE CENTER FOR PAIN OF MONTGOMERY LLC ” Practice Location

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