Organization Active NPI

Apex Spine and Pain PLLC

  • Pain Medicine Physician
  • Nashville, TN
National Provider Identifier
1689316309
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
APEX SPINE AND PAIN PLLC
Practice address
310 25TH Ave N Ste 203
Nashville, TN 37203-1593
Phone
(615) 815-1560
Fax
(615) 610-1199
NPI assigned
Apr 12, 2022
Last updated
Apr 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Phillip L. Beaulieu, MDNPI 1952473431
Title
Owner/Director/MD
Phone
(615) 815-1560

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X
Pain Medicine (Anesthesiology) Physician 207LP2900X
Pain Medicine Physician 208VP0000X Primary

Addresses

Primary practice location

310 25TH Ave N Ste 203
Nashville, TN 37203-1593

Mailing address

310 25TH Ave N Ste 203
Nashville, TN 37203-1593
Phone (615) 815-1560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220722000548 TN Part B Supplier - Clinic/Group Practice 9436530433 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

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
44D2010505Apex Spine and Pain, PLLC310 25TH Ave North Ste 203, Nashville, TN 37203Certificate of waiverJul 28, 2026

National Provider Directory

National Provider Directory

Locations

5133 Harding Pike
Ste B10
Nashville, TN 37205

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26183/brand/1/csg/1/fhir/r4

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": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1689316309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N STE 203",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031593",
            "telephone_number": "615-815-1560",
            "fax_number": "615-610-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N STE 203",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031593",
            "telephone_number": "615-815-1560",
            "fax_number": "615-610-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX SPINE AND PAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR/MD",
        "authorized_official_telephone_number": "615-815-1560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.