Organization Active NPI

Pain Management Group, P.C.

  • Interventional Pain Medicine Physician
  • Antioch, TN
National Provider Identifier
1902804271
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN MANAGEMENT GROUP, P.C.
Practice address
5801 Crossings Blvd
Antioch, TN 37013
Phone
(615) 941-8501
Fax
(615) 941-8102
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Julia Chumbley
Title
Manager
Phone
(615) 941-8501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

5801 Crossings Blvd
Antioch, TN 37013

Mailing address

5801 Crossings Blvd
Antioch, TN 37013-3130
Phone (615) 941-8501

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1902804271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 CROSSINGS BLVD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133130",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 CROSSINGS BLVD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "37013",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "CHUMBLEY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-941-8501"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.