Organization Active NPI

Justis Pain Management LLC

  • Interventional Pain Medicine Physician
  • Wilson, NC
National Provider Identifier
1821494725
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
38991 Issued in NC
Legal business name
JUSTIS PAIN MANAGEMENT LLC
Practice address
806 Hines St W
Suite B
Wilson, NC 27893-3022
Phone
(252) 237-2461
Fax
(252) 399-0569
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Dr. Christopher Justis, M.D.
Title
Doctor
Phone
(336) 990-0595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 38991 NC Primary

Addresses

Primary practice location

806 Hines St W
Suite B
Wilson, NC 27893-3022

Mailing address

1201 School St
Suite C
Wilkesboro, NC 28697-2629

National Provider Directory

National Provider Directory

Locations

806 Hines St W
Ste B
Wilson, NC 27893
Phone (252) 237-2461

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1821494725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SCHOOL ST",
            "address_2": "SUITE C",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 HINES ST W",
            "address_2": "SUITE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933022",
            "telephone_number": "252-237-2461",
            "fax_number": "252-399-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIS PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "JUSTIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "336-990-0595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "38991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.