Pain Relief of West TN

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

8034 Issued in TN

Legal business name

PAIN RELIEF OF WEST TN

Practice address

116 Vicksburg Ave
Camden, TN 38320-1614

Phone

(731) 441-6317

Fax

(731) 937-4510

NPI assigned

Aug 17, 2011

Last updated

Aug 17, 2011By 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

Ms. Brenda C Montgomery

Title

Owner/MGR

Phone

(731) 441-6317

Specialties & licenses 1

Addresses

Other names 1

• Ascend Medical Group, LLC Other name

Locations

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1285914697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 VICKSBURG AVE",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201614",
            "telephone_number": "731-441-6317",
            "fax_number": "731-937-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 VICKSBURG AVE",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201614",
            "telephone_number": "731-441-6317",
            "fax_number": "731-937-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF OF WEST TN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "731-441-6317",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TN",
            "license": "8034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascend Medical Group, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Millraney
• Jordan Taylor Mitchell
• Nora Diane Morgan
• Elizabeth Ann Oconnor, RPH
• Brooke Overbey, DDS
• Brenda Michelle Patterson, R.N.
• Kyle D Payne, MD
• Virginia Margarita Peebles, APN-BC
• PT Associates, LLC (King Physical Therapy)
• Quality Home Health Care, Inc. (Tennessee Quality Homecare-Northwest)

• Pain Clinic/Center in Camden, TN
• Providers in Camden, TN by specialty
• Pain Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.