Dynamic Pain & Wellness PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

DYNAMIC PAIN & WELLNESS PLLC

Practice address

6044 Doctors Park
Milton, FL 32570-5072

Phone

(850) 226-2607

Fax

(877) 413-5104

NPI assigned

Apr 23, 2018

Organization subpart

Yes

Parent organization

DYNAMIC PAIN & WELLNESS PLLCAs reported in NPPES

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

Authorized official

Name

Sarah Bailey

Title

Credentialing

Phone

(850) 331-2930

Specialties & licenses 1

Addresses

Part of

Dynamic Pain Wellness LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dynamic Pain & Wellness LLC

  • Pain Medicine (Anesthesiology) Physician
  • Dothan, AL
  • NPI 1588288641

  Member Of

  NPD member

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1699262980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325397356",
            "telephone_number": "850-331-2930",
            "fax_number": "877-413-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 DOCTORS PARK",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705072",
            "telephone_number": "850-226-2607",
            "fax_number": "877-413-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PAIN & WELLNESS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYNAMIC PAIN & WELLNESS PLLC",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "850-331-2930"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Douglas, PA-C
• Julia Renee Draper, M.A.
• Beni W Driskell, LMT
• Priscilla Dubret
• Dura-Med Southeast, Inc.
• Dynamic Pain & Wellness PLLC
• Charlene Rogers Echols, ARNP
• Alycia Edelhauser
• Cierra Edick
• Theresa Edwards, BCBA

• Pain Medicine (Anesthesiology) Physician in Milton, FL
• Providers in Milton, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.