Organization Active NPI

Elite Pain Consultants, PLLC

  • Interventional Pain Medicine Physician
  • Knoxville, TN
National Provider Identifier
1336640507
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ELITE PAIN CONSULTANTS, PLLC
Practice address
11416 Grigsby Chapel Rd Ste 104
Knoxville, TN 37934-1649
Phone
(865) 218-2100
NPI assigned
Feb 23, 2018
Organization subpart
Yes
Parent organization
ELITE PAIN CONSULTANTS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Cassy Elledge
Title
Revenue Director
Phone
(423) 476-5774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X TN Primary

Addresses

Primary practice location

11416 Grigsby Chapel Rd Ste 104
Knoxville, TN 37934-1649

Mailing address

PO Box 2070
Cleveland, TN 37320-2070

Other identifiers 1

IdentifierTypeStateIssuer
7741470002OtherMEDICARE NSC

Other names 1

  • Elite Pain Consultants of Knoxville Other name

National Provider Directory

National Provider Directory
Part of
Elite Pain Consultants PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1336640507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373202070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 GRIGSBY CHAPEL RD STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341649",
            "telephone_number": "865-218-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PAIN CONSULTANTS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE PAIN CONSULTANTS, PLLC",
        "enumeration_date": "2018-02-23",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "ELLEDGE",
        "authorized_official_first_name": "CASSY",
        "authorized_official_title_or_position": "REVENUE DIRECTOR",
        "authorized_official_telephone_number": "423-476-5774"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "7741470002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Pain Consultants of Knoxville",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Elite Pain Consultants of Knoxville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.