Organization Active NPI

Pain MD LLC

  • Interventional Pain Medicine Physician
  • Franklin, TN
National Provider Identifier
1639509664
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN MD LLC
Practice address
725 Cool Springs Blvd
Ste. 550
Franklin, TN 37067-2702
Phone
(615) 503-9000
NPI assigned
Nov 12, 2013
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Carroll E Combs Jr.
Title
Corporate Counsel
Phone
(615) 435-0553

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Acute Care Nurse Practitioner 363LA2100X NU
Family Nurse Practitioner 363LF0000X NU
Pain Medicine Physician 208VP0000X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

725 Cool Springs Blvd
Ste. 550
Franklin, TN 37067-2702

Mailing address

PO Box 681789
Franklin, TN 37068-1789
Phone (615) 503-9000

Other identifiers 1

IdentifierTypeStateIssuer
Q005805MedicaidTN

National Provider Directory

National Provider Directory

Locations

855 Bradley St NE
#A
Concord, NC 28025
Phone (704) 721-0535

1908 Caudle Dr
Ste 100
Mount Airy, NC 27030
Phone (336) 719-0761

455 N Chancery St
McMinnville, TN 37110
Phone (931) 474-1440

5000 Crossings Cir
Ste 200
Mt Juliet, TN 37122
Phone (615) 453-7440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1639509664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681789",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681789",
            "telephone_number": "615-503-9000",
            "fax_number": "615-435-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 COOL SPRINGS BLVD",
            "address_2": "STE. 550",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672702",
            "telephone_number": "615-503-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "CARROLL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CORPORATE COUNSEL",
        "authorized_official_telephone_number": "615-435-0553",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q005805",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.