Pain MD LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PAIN MD LLC

Practice address

144 Jack Farrar LN
Ste. B
Tullahoma, TN 37388-2398

Phone

(615) 503-9000

NPI assigned

Apr 17, 2015

Organization subpart

No

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

Authorized official

Name

Carroll E Combs Jr.

Title

Corporate Counsel

Phone

(615) 435-0553

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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

• Jonathan Stephen White, PA-C

  • Physician Assistant
  • Tullahoma, TN
  • NPI 1922169572
  NPD
• Tina Boyd-Seng, FNP-BC

  • Family Nurse Practitioner
  • Dyersburg, TN
  • NPI 1124320312
  NPD (past)

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1841687845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681789",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681789",
            "telephone_number": "615-503-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 JACK FARRAR LN",
            "address_2": "STE. B",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882398",
            "telephone_number": "615-503-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "CARROLL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CORPORATE COUNSEL",
        "authorized_official_telephone_number": "615-435-0553",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Marie Ott, R.PH.
• Tera Lee Overcast-Davis
• Grace Elizabeth Owens, OD
• William Owens
• Charles H Padget, M.D.
• Cynthia Elaine Painter, FNP-C
• Brady M Palmer, OD
• Christy Leanne Parker
• Dakka La'Shea Partin, RN
• Kayla Gail Partin

• Prosthetic/Orthotic Supplier in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.