Active NPI
Pain Medicine of the South, PLLC
- Ambulatory Surgical Clinic/Center
- Lenoir City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PAIN MEDICINE OF THE SOUTH, PLLC
- Practice address
- 149 Kelsey LN Ste 104
Lenoir City, TN 37772-6442 - Phone
- (865) 672-5070
- Fax
- (865) 671-6680
- NPI assigned
- Nov 13, 2025
- Last updated
- Jun 18, 2026
- Organization subpart
- Yes
- Parent organization
- PAIN MEDICINE OF THE SOUTH, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Ryan Jones
- Title
- Medical Director
- Phone
- (865) 672-5070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
149 Kelsey LN Ste 104
Lenoir City, TN 37772-6442
Mailing address
149 Kelsey LN Ste 104
Lenoir City, TN 37772-6442
Phone (865) 672-5070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260227000213 | TN | Part B Supplier - Ambulatory Surgical Center | 6800159682 | Practice locations: Lenoir City, TN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1417817347. Details of each certification follow.
Ambulatory surgical center certification: CCN 44C0001230
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PAIN MANAGEMENT OF THE SOUTH
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Mar 16, 2026
- Last certification
- Feb 27, 2026
- Facility address
- 149 Kelsey Lane Suite #103
Lenoir City, TN 37772
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Pain Medicine of the South
- Part of
- Pain Medicine of the South
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Clinic/Center
- Knoxville, TN
- NPI 1558887125
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 Clinic/Center
- Knoxville, TN
- NPI 1558887125
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Boston, MA
- NPI 1922452945
-
- Nurse Practitioner
- Knoxville, TN
- NPI 1508154915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1417817347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 KELSEY LN STE 104",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377726442",
"telephone_number": "865-672-5070",
"fax_number": "865-671-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 KELSEY LN STE 104",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377726442",
"telephone_number": "865-672-5070",
"fax_number": "865-671-6680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MEDICINE OF THE SOUTH, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PAIN MEDICINE OF THE SOUTH, PLLC",
"enumeration_date": "2025-11-13",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "865-672-5070"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenoir City, TN
- Orthotennessee, PC (OrthoTennessee Therapy)
- Orthotennessee, PC (Lakeway Orthopaedic Clinic)
- Orthotennessee, PC (OrthoTennessee Orthotics)
- Saul Alberto Padilla, BA
- Jennifer J Padrta, DC
- Ioannis Parastatidis, M.D., PH.D.
- Benjamin M Pardue, DO
- Hilary Ann Parker, PSY.D.
- Parkwest Medical Center (Peninsula Outpatient Center)
- Tara Pate, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.