Organization Active NPI

Pain Institute of Nashville, PLC

  • Pain Clinic/Center
  • Clarksville, TN
National Provider Identifier
1073049102
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
11765 Issued in TN
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20180131002665 TN Part B Supplier - Clinic/Group Practice 6103186689 Receives reassigned benefits from 6 practitioners
Practice locations: Springfield, TN; Clarksville, TN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.