Organization Active NPI

Carolina Pain Relief Center PLLC

  • Internal Medicine Physician
  • High Point, NC
National Provider Identifier
1396392197
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAROLINA PAIN RELIEF CENTER PLLC
Doing business as
Carolina Pain Relief Center
Practice address
4146 Mendenhall Oaks Pkwy Ste 105
High Point, NC 27265-8034
Phone
(336) 740-9580
Fax
(336) 790-4182
NPI assigned
Aug 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Frenesa Hall, MD
Title
Owner
Phone
(336) 740-9580

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

4146 Mendenhall Oaks Pkwy Ste 105
High Point, NC 27265-8034

Mailing address

2902 Turner Grove Dr N
Greensboro, NC 27455-1977

Other names 1

  • Carolina Pain Relief Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolina Pain Relief Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4150 Mendenhall Oaks Pkwy
Unit 3
High Point, NC 27265

2766 NC Highway 68 S
Ste 109
High Point, NC 27265

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1396392197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 TURNER GROVE DR N",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 MENDENHALL OAKS PKWY STE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658034",
            "telephone_number": "336-740-9580",
            "fax_number": "336-790-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PAIN RELIEF CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "FRENESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-740-9580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Pain Relief Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.