Active NPI
Elite Pain Consultants, PLLC
- Pain Clinic/Center
- Cleveland, TN
National Provider Identifier
1407357809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- PENDING
- 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, 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 |
|---|---|---|---|---|
| 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
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": "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.