Organization Active NPI

Comprehensive Pain Consultants of the Carolinas PLLC

  • Pain Medicine Physician
  • Brevard, NC
National Provider Identifier
1497401343
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
COMPREHENSIVE PAIN CONSULTANTS OF THE CAROLINAS PLLC
Practice address
22 Trust LN Ste 2
Brevard, NC 28712-4334
Phone
(828) 368-4241
Fax
(828) 641-9058
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Julie Anne Justice
Title
Credentialing Specialist
Phone
(828) 483-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

22 Trust LN Ste 2
Brevard, NC 28712-4334

Mailing address

310 Overlook Rd Ste B
Asheville, NC 28803-3319
Phone (828) 483-4438

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Pain Consultants of the Carolinas PLLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22 Trust Ln
Ste 2
Brevard, NC 28712
Phone (828) 368-4241

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1497401343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 OVERLOOK RD STE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033319",
            "telephone_number": "828-483-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 TRUST LN STE 2",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124334",
            "telephone_number": "828-368-4241",
            "fax_number": "828-641-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN CONSULTANTS OF THE CAROLINAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "828-483-4330"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.