NPIMap

Organization Active NPI

Associated Pain Specialists, PC

  • Pain Medicine Physician
  • Knoxville, TN
National Provider Identifier
1487075099
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
00000206 Issued in TN
Legal business name
ASSOCIATED PAIN SPECIALISTS, PC
Practice address
1342 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone
(865) 673-5000
Fax
(865) 330-6323
NPI assigned
Dec 27, 2013
Reactivated
Aug 28, 2023
Last updated
Feb 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Robert Harley Odell Jr., MD
Title
Secretary
Phone
(865) 673-5000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Durable Medical Equipment & Medical Supplies 332B00000X 7068360001 TN
Pain Medicine Physician 208VP0000X 00000206 TN Primary
Non-Pharmacy Dispensing Site 332900000X 4447050 TN

Addresses

Primary practice location

1342 Papermill Pointe Way
Knoxville, TN 37909-1903

Mailing address

1326 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone (865) 558-3476

Other practice location 1

2103 Forest Dr Ste 5
Gray, TN 37615-8423
Phone (423) 794-3142

Other practice location 2

1907 W Morris Blvd Ste A200
Morristown, TN 37813-3880
Phone (423) 616-1300

Other identifiers 2

IdentifierTypeStateIssuer
Q002178MedicaidTN
Q002176MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140303000710 TN Part B Supplier - Clinic/Group Practice 7214167733 Receives reassigned benefits from 17 practitioners
2 other NPIs on this enrollment
Practice locations: Gray, TN; Knoxville, TN; Morristown, TN
O20140501001880 TN DME Supplier - Physician - Internal MedicineDME Supplier - Physician - AnesthesiologyDME Supplier - Physician - Interventional Pain Management 7214167733 Practice locations: Knoxville, TN

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2073825Associated Pain Specialists, PC1342 Papermill Pointe Way, Knoxville, TN 37909Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1487075099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 PAPERMILL POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091903",
            "telephone_number": "865-558-3476",
            "fax_number": "865-330-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 PAPERMILL POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091903",
            "telephone_number": "865-673-5000",
            "fax_number": "865-330-6323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Forest Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "TN",
            "postal_code": "376158423",
            "country_code": "US",
            "telephone_number": "423-794-3142",
            "fax_number": "423-794-3184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 W Morris Blvd Ste A200",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378133880",
            "country_code": "US",
            "telephone_number": "423-616-1300",
            "fax_number": "865-616-1303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATED PAIN SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "deactivation_date": "2023-08-17",
        "reactivation_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HARLEY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "865-673-5000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "7068360001",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "00000206",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "TN",
            "license": "4447050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002178",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002176",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.