Organization Active NPI

Spinal Pain Solutions

  • Family Medicine Physician
  • Harriman, TN
National Provider Identifier
1891039244
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SPINAL PAIN SOLUTIONS
Practice address
1208 S Roane St
Harriman, TN 37748-7420
Phone
(865) 882-3667
Fax
(865) 882-3664
NPI assigned
Nov 23, 2012
Last updated
Sep 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Charlotte D Marks
Title
Billing Manager
Phone
(931) 808-1244

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X TN
Family Medicine Physician 207Q00000X TN Primary

Addresses

Primary practice location

1208 S Roane St
Harriman, TN 37748-7420

Mailing address

PO Box 1081
Harriman, TN 37748-1081
Phone (865) 882-3667

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1891039244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377481081",
            "telephone_number": "865-882-3667",
            "fax_number": "865-882-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 S ROANE ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377487420",
            "telephone_number": "865-882-3667",
            "fax_number": "865-882-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL PAIN SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "931-808-1244"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harriman, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.