Vadim Petrov-kondratov, M.D.
Vadim Petrov-kondratov, M.D. is an Interventional Pain Medicine Physician in Hinesville, GA, registered under NPI 1891061040. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 604 W OGLETHORPE HWY, Hinesville, GA 31313. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 88065 | GA | Pain Medicine (Anesthesiology) Physician |
| E10674 | AR | Interventional Pain Medicine Physician |
| 88065 | GA | Interventional Pain Medicine Physician primary |
Licences are recorded in 2 states: GA, AR. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Interventional Pain Management
- PAC ID
- 6709155831
- Enrollment ID
- I20220322002479
Medicare enrolment is recorded as approved under the provider type Practitioner - Interventional Pain Management. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Arkansas and Georgia. The practice address on file is in Hinesville, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- E10674
- Specialty
- Interventional Pain Medicine Physician
- Licence
- 88065
- Specialty
- Pain Medicine (Anesthesiology) Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Interventional Pain Medicine covers
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. NUCC Health Care Provider Taxonomy, code 208VP0014X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207LP2900X | Pain Medicine (Anesthesiology) Physician Pain Medicine | 88065 | GA | |
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | E10674 | AR | |
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | 88065 | GA | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1891061040 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 31, 2012 |
| Last updated | May 28, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | M.D. |
| Practice address |
604 W OGLETHORPE HWY Hinesville, GA 31313 (912) 910-3777 Fax (912) 292-0005 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 9 | 1 | 0 | 6 | 1 | 0 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 9 | 1 | 0 | 6 | 2 | 0 | 8 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.