Dynamic Pain & Wellness PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

DYNAMIC PAIN & WELLNESS PLLC

Practice address

5950 Berryhill Medical Park Dr
Unit B
Milton, FL 32570

Phone

(850) 226-6801

Fax

(877) 413-5104

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Sarah Bailey

Title

Credentialing

Phone

(850) 226-6801

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1821540352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 BERRYHILL MEDICAL PARK DR",
            "address_2": "UNIT B",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "32570",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 BERRYHILL MEDICAL PARK DR",
            "address_2": "UNIT B",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "32570",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PAIN & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "850-226-6801"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Renee Draper, M.A.
• Beni W Driskell, LMT
• Priscilla Dubret
• Dura-Med Southeast, Inc.
• Dynamic Pain & Wellness PLLC
• Charlene Rogers Echols, ARNP
• Alycia Edelhauser
• Cierra Edick
• Theresa Edwards, BCBA
• Makenzie Elliott

• Pain Medicine Physician in Milton, FL
• Providers in Milton, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.