NPIMap

Organization Active NPI

Atlas Pain and Spine PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Corbin, KY
National Provider Identifier
1487112843
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ATLAS PAIN AND SPINE PLLC
Practice address
1498 W Cumberland Gap Pkwy
Corbin, KY 40701-5902
Phone
(606) 280-7578
Fax
(833) 974-2501
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Dr. Thomas Whealton, DONPI 1811254105
Title
Owner
Phone
(606) 280-7875

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1498 W Cumberland Gap Pkwy
Corbin, KY 40701-5902

Mailing address

1498 W Cumberland Gap Pkwy
Corbin, KY 40701-5902
Phone (606) 280-7875

Other practice location 1

1018 Ival James Blvd Ste A
Richmond, KY 40475-8281
Phone (859) 544-1068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190419000394 KY Part B Supplier - Clinic/Group Practice 4082956198 Receives reassigned benefits from 12 practitioners
Practice locations: Richmond, KY; Corbin, KY
O20200316001838 KY DME Supplier - Physician - General Practice 4082956198 Practice locations: Corbin, KY

Other NPIs with the same Medicare PAC ID 1

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

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
18D2264453Atlas Pain and Spine PLLC1498 W Cumberland Gap Hwy, Corbin, KY 40701AccreditationMar 18, 2028

National Provider Directory

National Provider Directory

Locations

21025 N 8th Way
Ste 110
Phoenix, AZ 85024

920 Barnes Mill Rd
Ste A
Richmond, KY 40475
Phone (859) 544-1068

1018 Ival James Blvd
Richmond, KY 40475
Phone (859) 544-1068

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1487112843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 W CUMBERLAND GAP PKWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407015902",
            "telephone_number": "606-280-7875",
            "fax_number": "833-974-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 W CUMBERLAND GAP PKWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407015902",
            "telephone_number": "606-280-7578",
            "fax_number": "833-974-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 Ival James Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404758281",
            "country_code": "US",
            "telephone_number": "859-544-1068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLAS PAIN AND SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "WHEALTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-280-7875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.