NPIMap

Organization Active NPI

Cumberland Back Pain Clinic PC

Doing business as McMinnville Pain Clinic

  • Specialist
  • Cookeville, TN
National Provider Identifier
1265465041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CUMBERLAND BACK PAIN CLINIC PC
Doing business as
McMinnville Pain Clinic
Practice address
480 Neal St Ste 101
Cookeville, TN 38501-4073
Phone
(931) 520-8104
Fax
(931) 525-6107
NPI assigned
Jul 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisabeth Smolenski, M.D.
Title
President
Phone
(615) 591-1736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

480 Neal St Ste 101
Cookeville, TN 38501-4073

Mailing address

PO Box 1226
Franklin, TN 37065-1226
Phone (615) 591-1736

Other names 1

  • McMinnville Pain Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

480 Neal St
Ste 101
Cookeville, TN 38501
Phone (931) 520-8104

322 S Main St
Ste 101
Crossville, TN 38555
Phone (931) 456-3636

1732 N Eastman Rd
Kingsport, TN 37664
Phone (615) 591-2754

2100 Roanoke St
#200
Christiansburg, VA 24073
Phone (540) 381-8595

1928 Thomson Dr
Lynchburg, VA 24501
Phone (304) 845-7392

700 S Sycamore St
Ste 3
Petersburg, VA 23803
Phone (804) 862-2878

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265465041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1226",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370651226",
            "telephone_number": "615-591-1736",
            "fax_number": "615-591-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 NEAL ST STE 101",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014073",
            "telephone_number": "931-520-8104",
            "fax_number": "931-525-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND BACK PAIN CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMOLENSKI",
        "authorized_official_first_name": "LISABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-591-1736",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McMinnville Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.