Pain Management Group, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PAIN MANAGEMENT GROUP, P.C.

Practice address

40 W Caldwell St
Suite 200
Mount Juliet, TN 37122-2910

Phone

(615) 553-5640

Fax

(615) 553-5644

NPI assigned

Feb 22, 2010

Organization subpart

Yes

Parent organization

PAIN MANAGEMENT GROUP, P.C.As reported in NPPES

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

Authorized official

Name

Derek Oliver

Title

Office Manager

Phone

(615) 941-8501

Specialties & licenses 1

Addresses

Part of

Pain Management Group P

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 Management Group, P.C.

  • Interventional Pain Medicine Physician
  • Antioch, TN
  • NPI 1902804271
  NPPES parent name

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1346562048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 CROSSINGS BLVD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133130",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CALDWELL ST",
            "address_2": "SUITE 200",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371222910",
            "telephone_number": "615-553-5640",
            "fax_number": "615-553-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT GROUP, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN MANAGEMENT GROUP, P.C.",
        "enumeration_date": "2010-02-22",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-941-8501"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Page, LCSW
• Lori Page, LPC-MHSP
• Paidion, LLC
• Nancy Paige
• Pain Care Center of Mt Juliet PLLC
• Pain MD LLC
• Joyce D Pallens-Perez, PSYD
• Preston H Palm, MD
• Alyssa Palmer
• Stefanie M Palmer, FNP-BC

• Specialist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.