Active NPI
Spinal Pain Center, PLLC
- Family Nurse Practitioner
- Harriman, TN
National Provider Identifier
1992118939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16534
- Legal business name
- SPINAL PAIN CENTER, PLLC
- Practice address
- 1037 S Roane St
Harriman, TN 37748-7427 - Phone
- (865) 285-9284
- Fax
- (865) 882-3664
- NPI assigned
- Jun 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Pelmore, MD
- Title
- Medical Director
- Phone
- (865) 285-9284
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | |||
| Family Nurse Practitioner | 363LF0000X | 16534 | TN | Primary |
Addresses
Primary practice location
1037 S Roane St
Harriman, TN 37748-7427
Mailing address
1037 S Roane St
PO Box 1137
Harriman, TN 37748-7427
Phone (865) 285-9284
National Provider Directory
National Provider DirectoryLocations
1037 S Roane St
Harriman, TN 37748
Phone (865) 285-9284
Practitioners & affiliated clinicians
Practitioners 1
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": "1402012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402012800000",
"number": "1992118939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 S ROANE ST",
"address_2": "PO BOX 1137",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "377487427",
"telephone_number": "865-285-9284",
"fax_number": "865-882-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1037 S ROANE ST",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "377487427",
"telephone_number": "865-285-9284",
"fax_number": "865-882-3664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINAL PAIN CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-06",
"last_updated": "2014-06-06",
"status": "A",
"authorized_official_last_name": "PELMORE",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "865-285-9284",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "16534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harriman, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.