NPIMap

Organization Active NPI

Pain Management of Middle Tennessee PLLC

Doing business as Anesthesia Medical Group Pain Clinic

  • Pain Medicine Physician
  • Nashville, TN
National Provider Identifier
1982146361
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PAIN MANAGEMENT OF MIDDLE TENNESSEE PLLC
Doing business as
Anesthesia Medical Group Pain Clinic
Practice address
330 23Rd Ave N
Suite 130
Nashville, TN 37203-1534
Phone
(615) 620-1650
Fax
(615) 620-1654
NPI assigned
Nov 16, 2016
Last updated
Feb 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Patrick A Forrest, MDNPI 1063417673
Title
Owner/President
Phone
(615) 327-4304

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
Durable Medical Equipment & Medical Supplies 332B00000X
Pain Medicine Physician 208VP0000X Primary

Addresses

Primary practice location

330 23Rd Ave N
Suite 130
Nashville, TN 37203-1534

Mailing address

110 29TH Ave N
Suite 202
Nashville, TN 37203-1401
Phone (615) 327-4340

Other names 1

  • Anesthesia Medical Group Pain Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

980 Professional Park Dr
Ste C
Clarksville, TN 37040
Phone (931) 802-5515

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1982146361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N",
            "address_2": "SUITE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031401",
            "telephone_number": "615-327-4340",
            "fax_number": "615-327-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N",
            "address_2": "SUITE 130",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031534",
            "telephone_number": "615-620-1650",
            "fax_number": "615-620-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT OF MIDDLE TENNESSEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "615-327-4304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anesthesia Medical Group Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 3, 2017; 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.