Organization Active NPI

Premier Pain Solutions PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Wilmington, NC
National Provider Identifier
1508347048
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PREMIER PAIN SOLUTIONS PLLC
Practice address
5710 Oleander Dr Ste 201
Wilmington, NC 28403-4722
Phone
(833) 365-7246
NPI assigned
Aug 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Javid Mu'Az Baksh
Title
Owner
Phone
(833) 365-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

5710 Oleander Dr Ste 201
Wilmington, NC 28403-4722

Mailing address

9 Walden Ridge Dr Ste 10
Asheville, NC 28803-8592
Phone (833) 365-7246

National Provider Directory

National Provider Directory

Locations

5710 Oleander Dr
Ste 201
Wilmington, NC 28403
Phone (828) 221-0121

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1508347048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WALDEN RIDGE DR STE 10",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038592",
            "telephone_number": "833-365-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR STE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034722",
            "telephone_number": "833-365-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "BAKSH",
        "authorized_official_first_name": "JAVID",
        "authorized_official_middle_name": "MU'AZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-365-7246"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.