McMinnville Pain Relief Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MCMINNVILLE PAIN RELIEF CENTER

Practice address

810 Sparta St Ste 4
McMinnville, TN 37110-2698

Phone

(931) 474-1616

Fax

(931) 474-1618

NPI assigned

Nov 23, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Matt Anderson

Title

Administrator

Phone

(931) 474-1616

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Councill C Rudolph, MD

  • Surgery Physician
  • Manchester, TN
  • NPI 1194760660
  NPD (past)

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1831433283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SPARTA ST STE 4",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102698",
            "telephone_number": "931-474-1616",
            "fax_number": "931-474-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SPARTA ST STE 4",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102698",
            "telephone_number": "931-474-1616",
            "fax_number": "931-474-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMINNVILLE PAIN RELIEF CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "931-474-1616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Parker McMackins, LCSW
• Caitlin McMahan, PHARMD
• McMinnville Boarding Home for the Elderly
• McMinnville Drug Center Inc
• McMinnville Manor Opco LLC
• McMinnville Physical Therapy, LLC
• McMinnville Recovery Center
• McMinnville Smiles, PLLC
• McMinnville TN Opco LLC
• Jeffrey K McVey, DO

• Family Medicine Physician in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.