NPIMap

Organization Active NPI

Uma Pain & Spine Clinic, PLLC

  • Pain Clinic/Center
  • Rocky Mount, NC
National Provider Identifier
1013332642
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
200401300 Issued in NC
Legal business name
UMA PAIN & SPINE CLINIC, PLLC
Practice address
230 N Winstead Ave
Rocky Mount, NC 27804-2225
Phone
(252) 801-9998
Fax
(252) 210-3482
NPI assigned
Feb 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Dr. Divya J Patel, M.D.NPI 1609989870
Title
Owner
Phone
(252) 801-9998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 200401300 NC Primary

Addresses

Primary practice location

230 N Winstead Ave
Rocky Mount, NC 27804-2225

Mailing address

230 N Winstead Ave
Rocky Mount, NC 27804-2225
Phone (252) 801-9998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140508000082 NC Part B Supplier - Clinic/Group Practice 6800029380 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Mount, NC

National Provider Directory

National Provider Directory

Locations

230 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 801-9998

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFIFCA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1013332642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N WINSTEAD AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042225",
            "telephone_number": "252-801-9998",
            "fax_number": "252-210-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N WINSTEAD AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042225",
            "telephone_number": "252-801-9998",
            "fax_number": "252-210-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMA PAIN & SPINE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-801-9998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NC",
            "license": "200401300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.