Genesis Medical PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

GENESIS MEDICAL PLLC

Practice address

5370 NW Cache Rd Ste 1
Lawton, OK 73505-3371

Phone

(580) 221-2022

NPI assigned

Sep 23, 2026

Organization subpart

Yes

Parent organization

GENESIS MEDICAL PLLCAs reported in NPPES

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

Authorized official

Name

Sherry Lynne Clark

Title

Billing/Credentialing

Phone

(580) 223-5180

Specialties & licenses 1

Addresses

Other names 1

• Southern Oklahoma Pain Management Other name

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1407769243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 NW CACHE RD STE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053371",
            "telephone_number": "580-221-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 NW CACHE RD STE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053371",
            "telephone_number": "580-221-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS MEDICAL PLLC",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "580-223-5180"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Oklahoma Pain Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Otis Ross Gatewood III, BSBHRS
• Glen Danyell Gatling
• Taylor Gee, MS, CCC-SLP
• Geetha B Kandimala MD PC
• Melinda Geimausaddle
• Gentiva Health Services (USA), LLC (Kindred at Home I)
• George I Bridges DDS Inc
• Honora Georgiou
• Jade J Geraghty, BS, CMII
• Gerald Hall LLC

• Pain Medicine (Anesthesiology) Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Pain Medicine (Anesthesiology) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.