Active NPI
Elite Pain Consultants, PLLC
- Interventional Pain Medicine Physician
- Knoxville, TN
National Provider Identifier
1336640507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- 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, PLLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7741470002 | Other | MEDICARE NSC |
Other names 1
- Elite Pain Consultants of Knoxville
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.
-
- Pain Medicine Physician
- Cleveland, TN
- NPI 1497267173
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.