Southern Pain Institute PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

34231 Issued in TN

Legal business name

SOUTHERN PAIN INSTITUTE PLLC

Practice address

751 Chesapeake LN
Suite 220
Clarksville, TN 37040-5263

Phone

(615) 459-3206

Fax

(615) 459-6525

NPI assigned

Apr 4, 2011

Last updated

Apr 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawanna Stewart

Title

Office Manager

Phone

(615) 459-3244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Southern Pain Institute PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Nashville, TN
  • NPI 1033386941

  O20071004000818

  Same enrollment
• Southern Pain Institute PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Murfreesboro, TN
  • NPI 1073855573

  O20071004000818

  Same enrollment
• Southern Pain Institute PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Smyrna, TN
  • NPI 1538367529

  O20071004000818

  Same enrollment

Locations

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1477842045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 PRESIDENT PL",
            "address_2": "SUITE 220",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676844",
            "telephone_number": "615-459-3244",
            "fax_number": "615-459-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 CHESAPEAKE LN",
            "address_2": "SUITE 220",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405263",
            "telephone_number": "615-459-3206",
            "fax_number": "615-459-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PAIN INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "LAWANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-459-3244"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TN",
            "license": "34231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathryn Dugger Southard, RN, CLC
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Damon Sowers
• Shirley Sparlin, AGNP
• Therese Elizabeth Sparn, MA, ATC
• Special Needs Home Health Care LLC
• Sydney Speer, PT, DPT

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.