West Tennessee Pain Specialists PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

0000022099 Issued in TN

Legal business name

WEST TENNESSEE PAIN SPECIALISTS PLLC

Practice address

15 Stonebridge Blvd
Jackson, TN 38305-2042

Phone

(731) 660-2056

Fax

(731) 661-9092

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Roy A. Schmidt, M.D.NPI 1538109855

Title

Owner/MD

Phone

(731) 660-2056

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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

• Roy A Schmidt, M. D.

  • Specialist
  • Jackson, TN
  • NPI 1538109855

  Pain Medicine, TN

  Medicare reassignment NPD Authorized official
• Alexander Pearce Walker, ANP

  • Adult Health Nurse Practitioner
  • Henderson, TN
  • NPI 1861445611

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1265459192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10667",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383080111",
            "telephone_number": "731-660-2056",
            "fax_number": "731-661-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052042",
            "telephone_number": "731-660-2056",
            "fax_number": "731-661-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TENNESSEE PAIN SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "731-660-2056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "0000022099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Tennessee Medical Group Inc
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• West Tennessee Neurosurgical Clinic
• West Tennessee Optometry, PLLC
• West Tennessee Orthopedics and Sports Medicine,P.C.
• West Tennessee Pediatric Dental Group Inc
• West Tennessee Regional Health Office Children Special Services
• West Tennessee Rehab Group, P.C.
• West Tennessee Rehabilitation Hospital, LLC
• West Tennessee Transitional Care LLC

• All providers in Jackson, TN
• Pain Medicine (Anesthesiology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.