Organization Active NPI

Pain and Wellness Solutions of the Carolinas, PC

  • Interventional Pain Medicine Physician
  • Durham, NC
National Provider Identifier
1619484649
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
2009-00892 Issued in NC
Legal business name
PAIN AND WELLNESS SOLUTIONS OF THE CAROLINAS, PC
Practice address
5322 Highgate Dr Ste 143
Durham, NC 27713-6633
Phone
(984) 464-7972
NPI assigned
Dec 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Dr. Manoj Bobby Subbarao Wunnava, MDNPI 1720263239
Title
Physician
Phone
(984) 464-7972

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 2009-00892 NC
Addiction Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LA0401X 2009-00892 NC
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 2009-00892 NC
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X 2009-00892 NC Primary
Pain Clinic/Center 261QP3300X 2009-00892 NC

Addresses

Primary practice location

5322 Highgate Dr Ste 143
Durham, NC 27713-6633

Mailing address

5322 Highgate Dr Ste 143
Durham, NC 27713-6633
Phone (984) 464-7972

Other identifiers 1

IdentifierTypeStateIssuer
5912627MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180326001937 NC Part B Supplier - Clinic/Group Practice 3779845037 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC

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
34D2147396Pain and Wellness Solutions of the Carolinas5322 Highgate Drive, Suite 143, Durham, NC 27713Certificate of waiverApr 17, 2028

National Provider Directory

National Provider Directory

Locations

5322 Highgate Dr
Ste 143
Durham, NC 27713
Phone (919) 590-3694

Practitioners & affiliated clinicians

Practitioners 1

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": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1619484649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 HIGHGATE DR STE 143",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136633",
            "telephone_number": "984-464-7972",
            "fax_number": "919-591-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 HIGHGATE DR STE 143",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136633",
            "telephone_number": "984-464-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND WELLNESS SOLUTIONS OF THE CAROLINAS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "WUNNAVA",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_middle_name": "BOBBY SUBBARAO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "984-464-7972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2009-00892",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NC",
            "license": "2009-00892",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "2009-00892",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "2009-00892",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NC",
            "license": "2009-00892",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912627",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.