Southeastern Pain and Wellness, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SOUTHEASTERN PAIN AND WELLNESS, PLLC

Practice address

402 W King St
King, NC 27021-9170

Phone

(336) 391-0801

Fax

(877) 781-0070

NPI assigned

Sep 10, 2020

Organization subpart

No

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

Authorized official

Name

David Tunnell

Title

Ao

Phone

(252) 412-4465

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michael Williams

  • Certified Registered Nurse Anesthetist
  • Winston Salem, NC
  • NPI 1265827638
  NPD (past)

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1992310502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 VAUGHN RD # 165",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W KING ST",
            "city": "KING",
            "state": "NC",
            "postal_code": "270219170",
            "telephone_number": "336-391-0801",
            "fax_number": "877-781-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN PAIN AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "TUNNELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "252-412-4465"
    },
    "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": []
}

• Ginger Williams Sims, P.A.-C
• Rachel Butts Smith, LCSW
• Rochelle Yarbrough Smith
• Barbara Snyder
• Sarah A. Solomon, LCSW
• Lindsay Beth Spainhour
• Makayla Shore Sperbeck, OD
• Springwell Network, Inc.
• Dana D Stiles, M.D.
• Stokes Pharmacy

• Interventional Pain Medicine Physician in King, NC
• Providers in King, NC by specialty
• Interventional Pain Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.