Organization Active NPI

Pain and Rehabilitation Consultants

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Albertville, AL
National Provider Identifier
1922764018
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PAIN AND REHABILITATION CONSULTANTS
Practice address
200 E McKinney Ave
Albertville, AL 35950-1828
Phone
(256) 464-7855
NPI assigned
Nov 12, 2021
Organization subpart
Yes
Parent organization
PAIN AND REHABILITATION CONSULTANTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Norman Eugene McCoomerNPI 1437268489
Title
MD/Owner
Phone
(256) 464-7855

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

200 E McKinney Ave
Albertville, AL 35950-1828

Mailing address

8000 Madison Blvd # D102-291
Madison, AL 35758-2031
Phone (256) 464-7855

Other practice location 1

101 Red Hill Way
Madison, AL 35758-2568
Phone (256) 464-7855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140505002271 AL Part B Supplier - Clinic/Group Practice 7911130547 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Madison, AL; Albertville, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Pain Rehabilitation Consul

Locations

200 E McKinney Ave
Albertville, AL 35950
Phone (256) 464-7855

8000 Madison Blvd
#D102291
Madison, AL 35758

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1922764018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 MADISON BLVD # D102-291",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582031",
            "telephone_number": "256-464-7855",
            "fax_number": "855-301-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MCKINNEY AVE",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501828",
            "telephone_number": "256-464-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Red Hill Way",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582568",
            "country_code": "US",
            "telephone_number": "256-464-7855",
            "fax_number": "855-301-8314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN AND REHABILITATION CONSULTANTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN AND REHABILITATION CONSULTANTS",
        "enumeration_date": "2021-11-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "MCCOOMER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "256-464-7855"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.