Pain GPS Clinic, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PAIN GPS CLINIC, LLC

Practice address

1605 Oak St
Eugene, OR 97401-4022

Phone

(541) 246-3400

Fax

(541) 246-3421

NPI assigned

Mar 20, 2020

Organization subpart

No

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

Authorized official

Name

Jeremy Scott JohnstonNPI 1013286335

Title

Cfo

Phone

(702) 339-8602

Specialties & licenses 6

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Scott Johnston, PA-C

  • Physician Assistant
  • Eugene, OR
  • NPI 1013286335
  Medicare reassignment Authorized official
• Vanessa Johnston, FNP-C

  • Pain Medicine Physician
  • Eugene, OR
  • NPI 1639647449
  Medicare reassignment NPD
• Phyllis Deshun Hursey, MD

  • Family Medicine Physician
  • Portland, OR
  • NPI 1427029537
  NPD
• Randall Douglas Kelly, MHS, DMSC, PA-C

  • Physician Assistant
  • Hermiston, OR
  • NPI 1922393974
  NPD
• James Robert Morris, MD

  • Pain Medicine Physician
  • Eugene, OR
  • NPI 1902904501
  NPD
• Jen Dygert, M.S.W., L.C.S.W.

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1255477949
  NPD (past)
• Barbara Hoefener, NP

  • Family Nurse Practitioner
  • Eugene, OR
  • NPI 1437396033
  NPD (past)
• Morio C McWilliams, PAC

  • Physician Assistant
  • Portland, OR
  • NPI 1316242399
  NPD (past)

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1114553229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 WILLAMETTE ST STE 400",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974058200",
            "telephone_number": "541-246-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014022",
            "telephone_number": "541-246-3400",
            "fax_number": "541-246-3421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Oak St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014022",
            "country_code": "US",
            "telephone_number": "541-246-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN GPS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-339-8602"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500675843",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500851091",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500758665",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Pagen, LMT
• Eve Julia Pagliaro, L.AC
• Kayla Siobhan Paige
• Pain Consultants of Oregon PC
• Pain Consultants of Oregon PC
• Pain Mangement Partners, LLC
• Pain Specialists of Oregon PC
• Judy Painton
• Mollie Painton, PSY.D.
• Daina Pakalniskis, MA

• Pain Medicine Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Pain Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.