Organization Active NPI

Pain Clinic Associates PLLC

  • Interventional Pain Medicine Physician
  • Jackson, TN
National Provider Identifier
1992518468
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PAIN CLINIC ASSOCIATES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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)CodeLicenseStatePrimary
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 Other name

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.

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.

Verify at the official NPI Registry.