Southeast Spine and Pain Associates Inc.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SOUTHEAST SPINE AND PAIN ASSOCIATES INC.

Practice address

4713 Papermill Dr Ste 301
Knoxville, TN 37909-1908

Phone

(865) 307-7323

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Joesph Dichiara, DO

Title

Owner

Phone

(443) 257-9911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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

• Charlie M. Bartlett, F.N.P.

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1821022716
  Medicare reassignment Care Compare group NPD
• Sandra Elizabeth Charnley, APRN, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1528570983
  Medicare reassignment Care Compare group NPD
• Joseph Dichiara, DO

  • Pain Medicine (Anesthesiology) Physician
  • Morristown, TN
  • NPI 1104118835
  Medicare reassignment Care Compare group NPD
• Jane E Gertz, CRNP

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1962474825
  Medicare reassignment Care Compare group NPD
• Kimberly Kay Lowe, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1093006751
  Medicare reassignment Care Compare group NPD
• Luta Tarrant, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1740766922
  Medicare reassignment Care Compare group NPD
• Erika Nichols, NP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1922698273
  NPD

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1831890789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27629",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379277629",
            "telephone_number": "865-307-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 PAPERMILL DR STE 301",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091908",
            "telephone_number": "865-307-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST SPINE AND PAIN ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "DICHIARA",
        "authorized_official_first_name": "JOESPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-257-9911",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Eye Surgery Center, LLC
• Southeast Oral Surgery PC
• Southeast Oral Surgery PC
• Southeast Precision Clinic of Chiropractic, PLLC
• Southeast Spine & Pain Associates LLC
• Southeast Spine and Rehab Corp.
• Southeast Tennessee Health Clinic, LLC
• Southeastern Center for Fertility and Reproductive Surgery, PLLC
• Southeastern Dermatology Consultants, PC
• Southeastern Fertility Center

• Pain Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pain Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.