NPIMap

Organization Active NPI

Premier Pain & Spine Center, PLLC

  • Pain Clinic/Center
  • Nashville, TN
National Provider Identifier
1891375770
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PREMIER PAIN & SPINE CENTER, PLLC
Practice address
3443 Dickerson Pike Ste 590
Nashville, TN 37207-2520
Phone
(615) 988-8100
Fax
(877) 296-5238
NPI assigned
Apr 13, 2021
Last updated
Aug 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Dr. Alex Schmidt, MDNPI 1669925756
Title
Authorized Official
Phone
(615) 988-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

3443 Dickerson Pike Ste 590
Nashville, TN 37207-2520

Mailing address

3443 Dickerson Pike Ste 590
Nashville, TN 37207-2520
Phone (615) 637-7463

Other identifiers 1

IdentifierTypeStateIssuer
Q066517MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210804001906 TN Part B Supplier - Clinic/Group Practice 2062816689 Receives reassigned benefits from 17 practitioners
Practice locations: Nashville, TN; Hermitage, TN; Brentwood, TN
O20210818003070 TN DME Supplier - Physician - Physical and RehabilitationDME Supplier - Physician - Interventional Pain Management 2062816689 Practice locations: Nashville, TN

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2230158Premier Pain and Spine Center, PLLC3443 Dickerson Pike, Suite 590, Nashville, TN 37207Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Locations

1195 Old Hickory Blvd
Ste 102
Brentwood, TN 37027
Phone (615) 435-3235

1995 Old Hickory Blvd Ste 102
Brentwood, TN 37027

2000 Hayes St
#1502
Nashville, TN 37203

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1891375770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 590",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072520",
            "telephone_number": "615-637-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 590",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072520",
            "telephone_number": "615-988-8100",
            "fax_number": "877-296-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN & SPINE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-988-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q066517",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.