NPIMap

Organization Active NPI

Associated Pain Specialists, PC

  • Pain Medicine Physician
  • Morristown, TN
National Provider Identifier
1679394514
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
ASSOCIATED PAIN SPECIALISTS, PC
Practice address
1907 W Morris Blvd Ste A200
Morristown, TN 37813-3880
Phone
(423) 616-1300
Fax
(423) 616-1303
NPI assigned
Oct 23, 2024
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSOCIATED PAIN SPECIALISTS , PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Robert H Odell, MD
Title
President
Phone
(865) 673-5000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Durable Medical Equipment & Medical Supplies 332B00000X
Pain Medicine Physician 208VP0000X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

1907 W Morris Blvd Ste A200
Morristown, TN 37813-3880

Mailing address

1326 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone (865) 673-5000

Other identifiers 1

IdentifierTypeStateIssuer
Q099761MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140303000710 TN Part B Supplier - Clinic/Group Practice 7214167733 Receives reassigned benefits from 17 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gray, TN; Knoxville, TN; Morristown, TN
O20250501002220 TN DME Supplier - Physician - Anesthesiology 7214167733 Practice locations: Morristown, TN

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Associated Pain Specialists2 organizations share this tax ID, including this one
Part of
Associated Pain Specialists

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

818 Sunset Dr
#102
Johnson City, TN 37604
Phone (865) 558-3476

1342 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 219-3506

1907 W Morris Blvd
Ste A200
Morristown, TN 37813
Phone (423) 522-8700

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1679394514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 PAPERMILL POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091903",
            "telephone_number": "865-673-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W MORRIS BLVD STE A200",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133880",
            "telephone_number": "423-616-1300",
            "fax_number": "423-616-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED PAIN SPECIALISTS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED PAIN SPECIALISTS , PC",
        "enumeration_date": "2024-10-23",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-673-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q099761",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.