Tennessee River Pain Management Clinic

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

13057 Issued in TN

Legal business name

TENNESSEE RIVER PAIN MANAGEMENT CLINIC

Practice address

275A Eureka St
Savannah, TN 38372-3033

Phone

(731) 925-7246

Fax

(731) 925-7991

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Teresa Diane Dailey, NP, MSN

Title

NP

Phone

(731) 925-7246

Specialties & licenses 1

Addresses

Other names 1

• Tennessee River Pain Management Clinic Doing business as

Locations

Practitioners 2

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

• Teresa D Tucker, NP

  • Gerontology Nurse Practitioner
  • Savannah, TN
  • NPI 1780866830
  NPD
• Jianping Sun, MD

  • Pain Medicine (Anesthesiology) Physician
  • Renton, WA
  • NPI 1902917164
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1447578018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275A EUREKA ST",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383723033",
            "telephone_number": "731-925-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275A EUREKA ST",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383723033",
            "telephone_number": "731-925-7246",
            "fax_number": "731-925-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE RIVER PAIN MANAGEMENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "731-925-7246",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP, MSN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "13057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee River Pain Management Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colten Harris Taylor
• Frederick L Taylor, M.S
• Terrell Lee Tedford, CRNA
• Tennessee CVS Pharmacy LLC
• Tennessee Family Clinic
• Gilbert Micheal Thayer, M.D.
• Thomas Clinic Inc
• James H. Thomas, M.D.
• Olga Jacqueline Thompson, OT
• Lydia Thorne

• Adult Health Nurse Practitioner in Savannah, TN
• Providers in Savannah, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.