Organization Active NPI

Elite Pain Consultants, PLLC

  • Pain Clinic/Center
  • Cleveland, TN
National Provider Identifier
1407357809
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
PENDING Issued in TN
Legal business name
ELITE PAIN CONSULTANTS, PLLC
Practice address
102 Dunhill PL NW
Cleveland, TN 37311-3885
Phone
(423) 339-9581
NPI assigned
Feb 22, 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
Pain Clinic/Center 261QP3300X PENDING TN Primary

Addresses

Primary practice location

102 Dunhill PL NW
Cleveland, TN 37311-3885

Mailing address

PO Box 2070
Cleveland, TN 37320-2070
Phone (423) 339-9581

Other names 1

  • Elite Pain Consultants of Cleveland 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": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1407357809",
    "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",
            "telephone_number": "423-339-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DUNHILL PL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113885",
            "telephone_number": "423-339-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PAIN CONSULTANTS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE PAIN CONSULTANTS, PLLC",
        "enumeration_date": "2018-02-22",
        "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": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TN",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Pain Consultants of Cleveland",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Elite Pain Consultants of Cleveland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, 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.