Active NPI
Pain Treatment Centers of America, PLLC
- Durable Medical Equipment & Medical Supplies
- Greenville, MS
National Provider Identifier
1730893025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PAIN TREATMENT CENTERS OF AMERICA, PLLC
- Practice address
- 1907 Lisa Drive Ext
Greenville, MS 38703-4429 - Phone
- (501) 712-2571
- NPI assigned
- Jan 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Nehk
- Title
- Coo of RCM Services
- Phone
- (951) 541-6889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1907 Lisa Drive Ext
Greenville, MS 38703-4429
Mailing address
108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone (501) 712-2571
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673395200000",
"number": "1730893025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 N SHACKLEFORD RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112840",
"telephone_number": "501-712-2571",
"fax_number": "501-404-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 LISA DRIVE EXT",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387034429",
"telephone_number": "501-712-2571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN TREATMENT CENTERS OF AMERICA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-11",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A",
"authorized_official_last_name": "NEHK",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "COO OF RCM SERVICES",
"authorized_official_telephone_number": "951-541-6889"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.