NPIMap

Organization Active NPI

Interventional Pain Center, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Lumberton, NC
National Provider Identifier
1790220408
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
200100673 Issued in NC
Legal business name
INTERVENTIONAL PAIN CENTER, PLLC
Practice address
4320 Fayetteville Rd
Suite a
Lumberton, NC 28358-2706
Phone
(910) 738-9599
Fax
(910) 738-9549
NPI assigned
Jan 4, 2017
Last updated
Dec 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Shaneka Tinch
Title
RCM Manager
Phone
(469) 458-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 200100673 NC Primary

Addresses

Primary practice location

4320 Fayetteville Rd
Suite a
Lumberton, NC 28358-2706

Mailing address

PO Box 931038
Atlanta, GA 31193-1038

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
34D2085408Interventional Pain Center PLLC4320 Fayetteville Road, Suite a, Lumberton, NC 28358Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

Locations

721 Tilghman Dr
Ste 300
Dunn, NC 28334
Phone (910) 282-4370

1970 W Arlington Blvd
Ste A
Greenville, NC 27834
Phone (252) 378-9770

123 Sunnybrook Rd
Ste 130
Raleigh, NC 27610
Phone (919) 916-5300

11350 Mccormick Rd Executive Plz 1
Cincinnati, OH 45271

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1790220408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931038",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 FAYETTEVILLE RD",
            "address_2": "SUITE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582706",
            "telephone_number": "910-738-9599",
            "fax_number": "910-738-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "TINCH",
        "authorized_official_first_name": "SHANEKA",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "469-458-9222"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "200100673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.