Huntsville Pain Management, Inc.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

HUNTSVILLE PAIN MANAGEMENT, INC.

Practice address

185 Chateau Dr SW
Suite 302
Huntsville, AL 35801-7416

Phone

(256) 885-1605

Fax

(256) 885-1905

NPI assigned

Dec 19, 2011

Last updated

May 8, 2019By 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

Sandra Thacker

Title

Practice Manager

Phone

(256) 885-1605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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 2

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.

• Serena Nichole Moss, CRNP

  • Gerontology Nurse Practitioner
  • Huntsville, AL
  • NPI 1457787509
  Medicare reassignment Care Compare group NPD
• James Dewey Thacker Jr., M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Huntsville, AL
  • NPI 1962564476
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1154690204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CHATEAU DR SW",
            "address_2": "SUITE 302",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017416",
            "telephone_number": "256-885-1605",
            "fax_number": "256-885-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CHATEAU DR SW",
            "address_2": "SUITE 302",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017416",
            "telephone_number": "256-885-1605",
            "fax_number": "256-885-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE PAIN MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "256-885-1605"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Huntsville Plastic Anesthesia LLC
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• Pain Clinic/Center in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Pain Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.