Organization Active NPI

Pain & Rehabilitation Consultants

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Madison, AL
National Provider Identifier
1447671672
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PAIN & REHABILITATION CONSULTANTS
Practice address
44 Hughes Rd.
Suite 2500
Madison, AL 35758
Phone
(256) 464-7855
Fax
(855) 301-8314
NPI assigned
Dec 13, 2013
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Norman Eugene McCoomer, M.DNPI 1437268489
Title
Ceo/Owner
Phone
(256) 464-7855

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X Primary
Pain Medicine Physician 208VP0000X 290006 AL

Addresses

Primary practice location

44 Hughes Rd.
Suite 2500
Madison, AL 35758

Mailing address

44 Hughes Rd.
Suite 2500
Madison, AL 35758
Phone (256) 464-7855

Other practice location 1

101 Red Hill Way
Madison, AL 35758-2568
Phone (256) 464-7855

Other identifiers 2

IdentifierTypeStateIssuer
000103793MedicaidAL
200830700MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140505002271 AL Part B Supplier - Clinic/Group Practice 7911130547 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Madison, AL; Albertville, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

101 Red Hill Way
Madison, AL 35758
Phone (256) 464-7855

460 Lanier Rd
Ste 206
Madison, AL 35758
Phone (256) 464-7855

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1447671672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD.",
            "address_2": "SUITE 2500",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35758",
            "telephone_number": "256-464-7855",
            "fax_number": "855-301-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD.",
            "address_2": "SUITE 2500",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35758",
            "telephone_number": "256-464-7855",
            "fax_number": "855-301-8314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Red Hill Way",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582568",
            "country_code": "US",
            "telephone_number": "256-464-7855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN & REHABILITATION CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "MCCOOMER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "256-464-7855",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AL",
            "license": "290006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000103793",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200830700",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.