Organization Active NPI

Preferred Pain Care, LLC

  • Specialist
  • Knoxville, TN
National Provider Identifier
1083981781
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PREFERRED PAIN CARE, LLC
Practice address
2805 W Governor John Sevier Hwy
Knoxville, TN 37920-5552
Phone
(865) 951-0539
Fax
(865) 249-6746
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Ms. Juanell Walker
Title
Manager
Phone
(865) 951-0539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2805 W Governor John Sevier Hwy
Knoxville, TN 37920-5552

Mailing address

2805 W Governor John Sevier Hwy
Knoxville, TN 37920-5552
Phone (865) 951-0539

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1083981781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 W GOVERNOR JOHN SEVIER HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205552",
            "telephone_number": "865-951-0539",
            "fax_number": "865-249-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 W GOVERNOR JOHN SEVIER HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205552",
            "telephone_number": "865-951-0539",
            "fax_number": "865-249-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PAIN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JUANELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "865-951-0539",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.