Organization Active NPI

Premier Pain and Spine, LLC

  • Pain Clinic/Center
  • Rainbow City, AL
National Provider Identifier
1235895830
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PREMIER PAIN AND SPINE, LLC
Practice address
3015 Steele Station Rd
Rainbow City, AL 35906-8722
Phone
(256) 203-4844
Fax
(256) 459-5218
NPI assigned
Nov 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Jennifer Lavender
Title
Office Manager
Phone
(256) 203-4844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

3015 Steele Station Rd
Rainbow City, AL 35906-8722

Mailing address

3105 Steele Station Rd
Rainbow City, AL 35906-8722
Phone (256) 203-4844

Other names 1

  • Premier Pain and Spine, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220202000808 AL Part B Supplier - Clinic/Group Practice 5698168342 Receives reassigned benefits from 3 practitioners
Practice locations: Rainbow City, AL

National Provider Directory

National Provider Directory

Locations

3015 Steele Station Rd
Ste A
Rainbow City, AL 35906

3015 Steele Station Rd
Rainbow City, AL 35906
Phone (256) 203-4844

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1235895830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 STEELE STATION RD",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359068722",
            "telephone_number": "256-203-4844",
            "fax_number": "256-459-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 STEELE STATION RD",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359068722",
            "telephone_number": "256-203-4844",
            "fax_number": "256-459-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN AND SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "LAVENDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-203-4844"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pain and Spine, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.