Organization Active NPI

Complex Solutions LLC

  • Pain Clinic/Center
  • Rainbow City, AL
National Provider Identifier
1003235094
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
PM.163 Issued in AL
Legal business name
COMPLEX SOLUTIONS LLC
Practice address
3015 Steele Station Rd
Rainbow City, AL 35906-8722
Phone
(256) 456-5811
Fax
(256) 485-0753
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
David Lyle Shehi
Title
President
Phone
(256) 456-5811

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X
Pain Clinic/Center 261QP3300X PM.163 AL Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

3015 Steele Station Rd
Rainbow City, AL 35906-8722

Mailing address

PO Box 1941
Gadsden, AL 35902-1941

Other identifiers 1

IdentifierTypeStateIssuer
511-79613OtherALBLUE CROSS AND BLUE SHIELD

Other names 1

  • ETOWAH PAIN ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1003235094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1941",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359021941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 STEELE STATION RD",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359068722",
            "telephone_number": "256-456-5811",
            "fax_number": "256-485-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEX SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "SHEHI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-456-5811"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AL",
            "license": "PM.163",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "511-79613",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETOWAH PAIN ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.