Coosa Pain and Wellness

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

COOSA PAIN AND WELLNESS

Practice address

3804 Rainbow Dr
Rainbow City, AL 35906-3051

Phone

(256) 952-2200

Fax

(256) 952-2202

NPI assigned

Aug 2, 2013

Last updated

Jun 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Kevin Lackey, MDNPI 1720060247

Title

Owner

Phone

(256) 442-6181

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Thomas Kevin Lackey

  • Anesthesiology Physician
  • Rainbow City, AL
  • NPI 1720060247
  Authorized official Same address or phone

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1093147951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020266",
            "telephone_number": "256-442-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 RAINBOW DR",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063051",
            "telephone_number": "256-952-2200",
            "fax_number": "256-952-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOSA PAIN AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-442-6181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complex Solutions LLC (Etowah Pain Associates)
• Complex Solutions LLC (Etowah Pain Associates)
• Coosa Care Corp (Home Instead Senior Care)
• Coosa Family Care LLC
• Coosa Family Care LLC
• Jeri Lynn Cordell, PHARM.D.
• Corinne Vance Counseling
• Katie Nicole Cosper, OTR/L
• Kimberly Crawford, MS CCC-SLP
• Crbailey Medical LLC (Lifestyle Medicine)

• Pain Medicine (Anesthesiology) Physician in Rainbow City, AL
• Providers in Rainbow City, AL by specialty
• Pain Medicine (Anesthesiology) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.