Southern Pain Institute PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

34231 Issued in TN

Legal business name

SOUTHERN PAIN INSTITUTE PLLC

Practice address

393 Wallace Rd Ste A204
Nashville, TN 37211-4983

Phone

(615) 459-3244

Fax

(615) 459-6525

NPI assigned

May 9, 2008

Organization subpart

No

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

Authorized official

Name

Anna-Louise O Molette, M.D.

Title

Owner

Phone

(615) 459-3244

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southern Pain Institute PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Murfreesboro, TN
  • NPI 1073855573

  O20071004000818

  Same enrollment
• Southern Pain Institute PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Clarksville, TN
  • NPI 1477842045

  O20071004000818

  Same enrollment
• Southern Pain Institute PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Smyrna, TN
  • NPI 1538367529

  O20071004000818

  Same enrollment

Tax ID family

Southern Pain Institute PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Pain Institute PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Murfreesboro, TN
  • NPI 1073855573
  NPD tax ID
• Southern Pain Institute PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Spring Hill, TN
  • NPI 1922230986
  NPD tax ID

Locations

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1033386941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 PRESIDENT PL",
            "address_2": "SUITE 220",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676844",
            "telephone_number": "615-459-3244",
            "fax_number": "615-459-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 WALLACE RD STE A204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114983",
            "telephone_number": "615-459-3244",
            "fax_number": "615-459-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PAIN INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "MOLETTE",
        "authorized_official_first_name": "ANNA-LOUISE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-459-3244",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TN",
            "license": "34231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3736847",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jamaria Jania Southward, CPNP-PC
• Derrick Sowder, MD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.