Mid-South Pain Management, PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

MID-SOUTH PAIN MANAGEMENT, PC

Practice address

2020 Cowan Hwy Ste 2
Winchester, TN 37398-2446

Phone

(931) 962-1220

Fax

(931) 962-2520

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Lisabeth A Williams, M.D.

Title

Owner

Phone

(615) 503-9000

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan F Bachrach, MD, PH.D.

  • Neurology Physician
  • Clarksville, TN
  • NPI 1811930571
  NPD
• Tina Boyd-Seng, FNP-BC

  • Family Nurse Practitioner
  • Dyersburg, TN
  • NPI 1124320312
  NPD
• Brian F Richey, FNP-BC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1427385004
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1346315710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1226",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370651226",
            "telephone_number": "615-503-9000",
            "fax_number": "615-435-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COWAN HWY STE 2",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982446",
            "telephone_number": "931-962-1220",
            "fax_number": "931-962-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH PAIN MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LISABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-503-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "44D2054802",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346315710",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3736076",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roderick Bryan Meese, MD
• Mel Fleming MD PLLC
• Mercy Behavioral Health PLLC
• Emily Lane Meyers, CRNA
• Michael Nobles, MD, PC
• David Moore, PH.D.
• Gregory F Motley, CRNA
• Courtney Jeannine Murray, D.O.
• Bryan C Myers, MD
• Emily Gavlick Myers, DPT

• Pain Medicine Physician in Winchester, TN
• Providers in Winchester, TN by specialty
• Pain Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.