Organization Active NPI

Spine, Neuromuscular and Pain Clinic PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Raleigh, NC
National Provider Identifier
1447628904
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
200301497 Issued in NC
Legal business name
SPINE, NEUROMUSCULAR AND PAIN CLINIC PLLC
Practice address
8009 Creedmoor Rd
Suite 202
Raleigh, NC 27613-4393
Phone
(919) 846-7246
NPI assigned
Sep 14, 2015
Last updated
Sep 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Audrey Hamlin
Title
Office Manager
Phone
(586) 212-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 200301497 NC Primary

Addresses

Primary practice location

8009 Creedmoor Rd
Suite 202
Raleigh, NC 27613-4393

Mailing address

7810 Green Mill Dr
Raleigh, NC 27616-8386

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1447628904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 GREEN MILL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 CREEDMOOR RD",
            "address_2": "SUITE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134393",
            "telephone_number": "919-846-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE, NEUROMUSCULAR AND PAIN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-212-2004"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NC",
            "license": "200301497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.