Active NPI
Neurology & Pain Management, PLLC
- Specialist
- Lillington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9900027
- Legal business name
- NEUROLOGY & PAIN MANAGEMENT, PLLC
- Practice address
- 350 Pine State St
Lillington, NC 27546-9428 - Phone
- (910) 893-9700
- Fax
- (910) 893-9747
- NPI assigned
- Mar 8, 2007
- 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
- Dr. Nailesh D Dave, M.D.
- Title
- Doctor
- Phone
- (910) 893-9700
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9900027 | NC | Primary |
Addresses
Primary practice location
350 Pine State St
Lillington, NC 27546-9428
Mailing address
350 Pine State St
Lillington, NC 27546-9428
Phone (910) 893-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891209M | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050121000072 | NC | Part B Supplier - Clinic/Group Practice | 6305895905 |
Receives reassigned benefits from 24 practitioners Practice locations: Sanford, NC; Morrisville, NC; Lillington, NC; Fayetteville, NC; Benson, NC; Aberdeen, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2008878 | Neurology & Pain Management Center | Certificate of waiver | Jun 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
2933 W Cypress Creek Rd
Ste 101
Ft Lauderdale, FL 33309
Phone 9544581199 ext. 107
180 Magnolia Square Ct
Aberdeen, NC 28315
Phone (910) 491-2744
325 S Walton Dr
Benson, NC 27504
Phone (919) 894-1003
3400 Walsh Pkwy
#100
Fayetteville, NC 28311
3400 Walsh Pkwy
Ste 100
Fayetteville, NC 28311
Phone (910) 491-2744
5511 Ramsey St
Ste 200
Fayetteville, NC 28311
Phone (910) 491-2744
350 Pine State St
Lillington, NC 27546
Phone (910) 893-9700
817 W Front St
Lillington, NC 27546
Phone (910) 814-2197
1212 Central Dr
Ste 101
Sanford, NC 27330
Interoperability endpoints
- emilyself@napm.allscriptsdirect.net
- biancagoo@napm.allscriptsdirect.net
- mistywhite@napm.allscriptsdirect.net
- meenadave@napm.allscriptsdirect.net
- davidpaulson@napm.allscriptsdirect.net
- poojaparmar@napm.allscriptsdirect.net
- alexandraelios@napm.allscriptsdirect.net
- neemadave@napm.allscriptsdirect.net
- kimberlygrossman@napm.allscriptsdirect.net
- vernwagner@napm.allscriptsdirect.net
- markjularbal@napm.allscriptsdirect.net
- naileshdave@napm.allscriptsdirect.net
- samtabhakta@napm.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 34
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": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185494400000",
"number": "1609907138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 PINE STATE ST",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275469428",
"telephone_number": "910-893-9700",
"fax_number": "910-893-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PINE STATE ST",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275469428",
"telephone_number": "910-893-9700",
"fax_number": "910-893-9747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY & PAIN MANAGEMENT, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-27",
"status": "A",
"authorized_official_last_name": "DAVE",
"authorized_official_first_name": "NAILESH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "910-893-9700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": "9900027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891209M",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lillington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.