Organization Active NPI

Comfort Care Pain Management, Inc

  • Pain Clinic/Center
  • Crossville, TN
National Provider Identifier
1891190138
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
COMFORT CARE PAIN MANAGEMENT, INC
Practice address
352 Lantana Rd
Crossville, TN 38555-4912
Phone
(931) 484-5379
Fax
(931) 484-5946
NPI assigned
Oct 29, 2014
Last updated
Jan 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Charles S Clifton, PA-C
Title
Owner
Phone
(931) 484-5379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

352 Lantana Rd
Crossville, TN 38555-4912

Mailing address

352 Lantana Rd
Crossville, TN 38555-4912
Phone (931) 484-5379

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1891190138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 LANTANA RD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554912",
            "telephone_number": "931-484-5379",
            "fax_number": "931-484-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 LANTANA RD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554912",
            "telephone_number": "931-484-5379",
            "fax_number": "931-484-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE PAIN MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-484-5379",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.