Rocky Mount Pain and Spine

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

141911 Issued in NC

Legal business name

ROCKY MOUNT PAIN AND SPINE

Practice address

7780 Brier Creek Pkwy
200
Raleigh, NC 27617-7849

Phone

(919) 596-3400

Fax

(919) 596-3499

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Nicole Carlson

Title

Administrative Coordinator

Phone

(252) 200-5180

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brier Creek Integrated Pain and Spine Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Britt

  • Family Nurse Practitioner
  • Lumberton, NC
  • NPI 1811452246
  NPD
• Robert D Wadley, MD

  • Pain Medicine (Anesthesiology) Physician
  • Raleigh, NC
  • NPI 1184703332
  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1811253065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ENTERPRISE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049516",
            "telephone_number": "252-200-5180",
            "fax_number": "252-200-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY",
            "address_2": "200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177849",
            "telephone_number": "919-596-3400",
            "fax_number": "919-596-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNT PAIN AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "252-200-5180"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "141911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "141911",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915893",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brier Creek Integrated Pain and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rockwell Health LLC
• Rockwell Property Solutions, LLC
• Annika Rockwell, RDN
• Rockwell, Inc.
• Lauren Rockwell, MA, LPA
• Keyioca Rod
• Sydney Rachael Roda
• Vanessa Handsel Roddenberry, PH.D.
• Stephanie Backity Rodelander, LCSW
• Christina Rodgers

• Medical Specialty Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.