Active NPI
Nashville Pain & Wellness Center PLLC
- Pain Medicine (Anesthesiology) Physician
- Clarksville, TN
National Provider Identifier
1548836455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- NASHVILLE PAIN & WELLNESS CENTER PLLC
- Practice address
- 781 Weatherly Dr.
Ste. C
Clarksville, TN 37043 - Phone
- (615) 661-7888
- Fax
- (615) 661-9001
- NPI assigned
- Jun 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madhu Srinivasamurthy Yelameli, MD
- Title
- Owner/Director/MD
- Phone
- (615) 661-7888
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
781 Weatherly Dr.
Ste. C
Clarksville, TN 37043
Mailing address
PO Box 681508
Franklin, TN 37068-1508
Phone (615) 661-7888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1530977 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
781 Weatherly Dr
Apt C
Clarksville, TN 37043
Phone (931) 444-5040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664928000000",
"number": "1548836455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681508",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370681508",
"telephone_number": "615-661-7888",
"fax_number": "615-661-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 WEATHERLY DR.",
"address_2": "STE. C",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "615-661-7888",
"fax_number": "615-661-9001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASHVILLE PAIN & WELLNESS CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-01",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A",
"authorized_official_last_name": "YELAMELI",
"authorized_official_first_name": "MADHU",
"authorized_official_middle_name": "SRINIVASAMURTHY",
"authorized_official_title_or_position": "OWNER/DIRECTOR/MD",
"authorized_official_telephone_number": "615-661-7888",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1530977",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.