Advanced Pain Treatment Centers, PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

43477 Issued in TN

Legal business name

ADVANCED PAIN TREATMENT CENTERS, PC

Practice address

60 Lynoak CV
Jackson, TN 38305-2800

Phone

(731) 736-1882

Fax

(731) 736-1883

NPI assigned

May 20, 2009

Last updated

Aug 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marcus E Meekins, MD

Title

Owner

Phone

(731) 736-1882

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

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.

• Dominique Clark, FNP-C

  • Family Nurse Practitioner
  • Cordova, TN
  • NPI 1346874716
  NPD (past)
• Carolyn C Martin, PHD

  • Psychologist
  • Cordova, TN
  • NPI 1710906466
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1932334828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LYNOAK CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052800",
            "telephone_number": "731-736-1882",
            "fax_number": "731-736-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LYNOAK CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052800",
            "telephone_number": "731-736-1882",
            "fax_number": "731-736-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN TREATMENT CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "MEEKINS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-736-1882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "43477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "100852",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505801",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "4225396",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Interventional Pain Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.