Advanced Pain Clinic, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD12669 Issued in TN

Legal business name

ADVANCED PAIN CLINIC, P.C.

Practice address

1345 W Main St
Franklin, TN 37064-3703

Phone

(615) 794-5009

Fax

(615) 790-7531

NPI assigned

May 24, 2010

Organization subpart

No

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

Authorized official

Name

Giovanni Faccia, M.D.

Title

Medical Director

Phone

(615) 794-5009

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Advanced Pain Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Advanced Pain Clinic, P.C.

  • Specialist
  • Columbia, TN
  • NPI 1336454511
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Advanced Pain Clinic, P.C.

  • Specialist
  • Columbia, TN
  • NPI 1336454511
  NPPES parent name

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1104145689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370650190",
            "telephone_number": "615-794-5009",
            "fax_number": "615-790-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W MAIN ST",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643703",
            "telephone_number": "615-794-5009",
            "fax_number": "615-790-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "FACCIA",
        "authorized_official_first_name": "GIOVANNI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-794-5009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD12669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Franklin, TN
• Providers in Franklin, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.