Professional Pain Management, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13528 Issued in TN

Legal business name

PROFESSIONAL PAIN MANAGEMENT, LLC

Practice address

301 Keith St SW
Suite 204
Cleveland, TN 37311-5808

Phone

(423) 790-7500

Fax

(423) 790-5299

NPI assigned

May 16, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David S. Cofer, NP

Title

Owner

Phone

(423) 790-7500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1003109646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4350",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373204350",
            "telephone_number": "423-790-7500",
            "fax_number": "423-790-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KEITH ST SW",
            "address_2": "SUITE 204",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115808",
            "telephone_number": "423-790-7500",
            "fax_number": "423-790-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "COFER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-790-7500",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Family Eyecare, LLC
• Shelby Prendergast
• Julie Price
• Camara Prichard, DO
• Gabrielle Elaine Prince
• Deana Prok, PTA
• William A. Pryor III, D.D.S. , M.S.
• Publix Tennessee LLC
• Ashleigh Ekaterina Pucci
• Keelie Puckett, RN

• Family Nurse Practitioner in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.