Active NPI
Nova Pain Management PA
- Pain Clinic/Center
- New Bern, NC
National Provider Identifier
1306881537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- NOVA PAIN MANAGEMENT PA
- Practice address
- 1813 S Glenburnie Rd
New Bern, NC 28562-5210 - Phone
- (252) 672-0095
- Fax
- (252) 672-9897
- NPI assigned
- Jun 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Donnelly
- Title
- President
- Phone
- (252) 672-0095
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
1813 S Glenburnie Rd
New Bern, NC 28562-5210
Mailing address
1813 S Glenburnie Rd
New Bern, NC 28562-5210
Phone (252) 672-0095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89015YC | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- New Bern, NC
- NPI 1821059775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421020800000",
"number": "1306881537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 S GLENBURNIE RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625210",
"telephone_number": "252-672-0095",
"fax_number": "252-672-9897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 S GLENBURNIE RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625210",
"telephone_number": "252-672-0095",
"fax_number": "252-672-9897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA PAIN MANAGEMENT PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2015-01-12",
"status": "A",
"authorized_official_last_name": "DONNELLY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-672-0095"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89015YC",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #05597)
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #16404)
- North Carolina Inpatient Medicine Associates PLLC
- North Carolina Physician Consultants LLC
- Caroline Powell Norwood, MS-CCC-SLP
- Sara Noyes
- Nu Life Services
- Carrie Nunley
- Michael Kermit Nunn, DO
- Nurse Sitters Now LLC (Nurse Sitters Now)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.