Active NPI
Pain Clinic Associates PLLC
- Interventional Pain Medicine Physician
- Jackson, TN
National Provider Identifier
1992518468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- PAIN CLINIC ASSOCIATES PLLC
- Practice address
- 58 Murray Guard Dr
Jackson, TN 38305-3661 - Phone
- (901) 747-0040
- NPI assigned
- Jan 29, 2025
- Last updated
- Apr 7, 2025
- Organization subpart
- Yes
- Parent organization
- PAIN CLINIC ASSOCIATES PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ray Saunders
- Title
- Practice Administrator
- Phone
- (901) 237-6408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | NU | Primary |
Addresses
Primary practice location
58 Murray Guard Dr
Jackson, TN 38305-3661
Mailing address
55 Humphreys Center Dr Ste 200
Memphis, TN 38120-2366
Other names 1
- DME Jackson
National Provider Directory
National Provider Directory- Part of
- Pain Clinic Physical TH
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.
-
- Interventional Pain Medicine Physician
- Memphis, TN
- NPI 1144381930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743984000000",
"number": "1992518468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HUMPHREYS CENTER DR STE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 MURRAY GUARD DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053661",
"telephone_number": "901-747-0040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN CLINIC ASSOCIATES PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PAIN CLINIC ASSOCIATES PLLC",
"enumeration_date": "2025-01-29",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A",
"authorized_official_last_name": "SAUNDERS",
"authorized_official_first_name": "RAY",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "901-237-6408"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DME Jackson",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "DME Jackson",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.