NPIMap

Organization Active NPI

Cullman Regional Pain Services LLC

  • Anesthesiology Physician
  • Cullman, AL
National Provider Identifier
1326507013
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CULLMAN REGIONAL PAIN SERVICES LLC
Practice address
1912 Al Hwy 157
Cullman, AL 35058-0609
Phone
(256) 737-2235
Fax
(256) 737-2227
NPI assigned
Mar 13, 2019
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Mrs. Nesha Donaldson
Title
Chief Financial Officer
Phone
(256) 737-2598

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU

Addresses

Primary practice location

1912 Al Hwy 157
Cullman, AL 35058-0609

Mailing address

P.O. Box 1108
Cullman, AL 35056-1108
Phone (256) 735-5041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190522000608 AL Part B Supplier - Clinic/Group Practice 1456694082 Receives reassigned benefits from 30 practitioners
Practice locations: Cullman, AL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1912 AL Highway 157
Ste 100
Cullman, AL 35058
Phone (256) 737-2235

Practitioners & affiliated clinicians

Practitioners 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1326507013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1108",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350561108",
            "telephone_number": "256-735-5041",
            "fax_number": "256-735-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 AL HWY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-737-2235",
            "fax_number": "256-737-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN REGIONAL PAIN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "NESHA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "256-737-2598",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.