NPIMap

Organization Active NPI

Pmcoa

Doing business as Physicians Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Montgomery, AL
National Provider Identifier
1801240072
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PMCOA
Doing business as
Physicians Pain Management
Practice address
3283 Malcolm Dr
Suite 100
Montgomery, AL 36116-8816
Phone
(334) 356-9970
Fax
(334) 269-8783
NPI assigned
Apr 14, 2016
Last updated
Apr 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Candice W Cobb, D.C.NPI 1619259108
Title
Owner
Phone
(334) 356-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

3283 Malcolm Dr
Suite 100
Montgomery, AL 36116-8816

Mailing address

PO Box 660257
Birmingham, AL 35266-0257
Phone (205) 979-5882

Other names 1

  • Physicians Pain Management Doing business as

National Provider Directory

National Provider Directory

Locations

3283 Malcolm Dr
Ste 100
Montgomery, AL 36116
Phone (334) 356-9970

488 Saint Lukes Dr
Montgomery, AL 36117
Phone (256) 496-2635

Practitioners & affiliated clinicians

Practitioners 8

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": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1801240072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660257",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660257",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3283 MALCOLM DR",
            "address_2": "SUITE 100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361168816",
            "telephone_number": "334-356-9970",
            "fax_number": "334-269-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMCOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-356-1111",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.