Active NPI
Pain Institute of Nashville, PLC
- Pain Clinic/Center
- Clarksville, TN
National Provider Identifier
1073049102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 11765
- Legal business name
- PAIN INSTITUTE OF NASHVILLE, PLC
- Practice address
- 1849 Madison St Ste F
Clarksville, TN 37043-4903 - Phone
- (931) 802-6824
- NPI assigned
- May 10, 2017
- Last updated
- Dec 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ron Wood
- Title
- Billing Manager
- Phone
- (615) 478-6371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | 11765 | TN | Primary |
Addresses
Primary practice location
1849 Madison St Ste F
Clarksville, TN 37043-4903
Mailing address
PO Box 330175
Nashville, TN 37203-7501
Phone (931) 802-6824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1849 Madison St
Clarksville, TN 37043
Phone (931) 802-6824
1849 Madison St
Ste F
Clarksville, TN 37043
Phone (615) 479-5389
502 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-4104
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Springfield, TN
- NPI 1104330133
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1760448898
-
- Family Nurse Practitioner
- Clarksville, TN
- NPI 1083361083
-
- Physical Medicine & Rehabilitation Physician
- Nashville, TN
- NPI 1992090500
-
- Pain Medicine (Anesthesiology) Physician
- Knoxville, TN
- NPI 1982601290
-
- Nurse Practitioner
- Jackson, TN
- NPI 1821328121
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1629030911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545782400000",
"number": "1073049102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 330175",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372037501",
"telephone_number": "931-802-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 MADISON ST STE F",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434903",
"telephone_number": "931-802-6824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN INSTITUTE OF NASHVILLE, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-10",
"last_updated": "2018-12-26",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "615-478-6371"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "TN",
"license": "11765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.