SOUTHERN PAIN AND REGENERATIVE MEDICINE PC (NPI# 1376026310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376026310 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PAIN AND REGENERATIVE MEDICINE PC |
| Practice Address |
176 Briarwood St Ste B Camden TN 38320-1456 |
| Practice Telephone | 7312132720 |
| Practice Fax Number | 9013500677 |
| Mailing Telephone | 7312132720 |
| Mailing Fax Number | 9013500677 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |
| Authorized Official Name | THOMAS D HODGKISS (OWNER) |
| Authorized Official Telephone | 9013500678 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659855252 | Southern Pain and Regenerative Medicine PC | Pain Medicine | 1720 E Reelfoot Ave Ste 200, Union City, TN 38261-6049 | 2018-09-19 |
| 1841799707 | Southern Pain and Regenerative Medicine PC | Radiology | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2018-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHERN PAIN AND REGENERATIVE MEDICINE PC | 5683 S Rex Rd, Memphis, TN 38119-3821 |
| Street Address |
176 BRIARWOOD ST STE B |
| City | CAMDEN |
| State | TN |
| Zip Code | 38320-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467660910 | Kyle D Payne | Anesthesiology | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2007-05-18 |
| 1184284374 | Amanda Leigh Flood | Nurse Practitioner | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2019-06-19 |
| 1841799707 | Southern Pain and Regenerative Medicine PC | Radiology | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2018-02-06 |
| 1548712029 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 176 Briarwood St Ste B, Camden, TN 38320-1379 | 2016-10-31 |
| 1225378904 | Jennifer Marie Mcdowell | Nurse Practitioner | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2013-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525395 | Mickie Carter | Physician Assistant | 284 Hwy 641 N, Camden, TN 38320 | 2011-01-19 |
| 1447574249 | Virginia Margarita Peebles | Nurse Practitioner | 176 Briarwood Ave, Suite B, Camden, TN 38320 | 2010-03-23 |
| 1194857417 | Tron D Baker | Case Manager/Care Coordinator | 495 Liberty Rod, Camden, TN 38320 | 2007-03-12 |
| 1801968854 | Michael Eugene Bogard | Physical Therapist | 77 East Lake St, Camden, TN 38320 | 2006-11-14 |
| 1134217029 | Agustin V Vitualla | General Practice | 135 Hospital Dr, Camden, TN 38320 | 2006-10-10 |
| 1629000567 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 195 North 641, Camden, TN 38320 | 2006-07-07 |
| 1215995287 | Quality Home Health Care, Inc. | Home Health | 279 W Main St, Camden, TN 38320 | 2006-05-01 |
| 1285612564 | Camden Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr., Camden, TN 38320 | 2006-01-06 |
| 1073513636 | William Hall Mcconnell | Optometrist | 194 W. Main St., Camden, TN 38320 | 2005-07-26 |
| 1790077139 | Ccc Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320 | 2011-05-04 |
| Find all providers in zip 38320 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780052662 | Angels Medical LLC | Pain Medicine | 718 Lafayette Ave, Camden, SC 29020-3522 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699257444 | Comprehensive Neurology Center Pllc | Pain Medicine | 5651 Frist Blvd Ste 413, Hermitage, TN 37076-2058 | 2018-08-29 |
| 1508245515 | Cameron Kluth | Pain Medicine | 101 Med Tech Pkwy Ste 200, Johnson City, TN 37604-4001 | 2015-05-22 |
| 1215354253 | Robert Winslow Caughey | Pain Medicine | 300 Steam Plant Rd Ste 410, Gallatin, TN 37066-3065 | 2014-03-27 |
| 1750680328 | Roane County Interventional Pain Management LLC | Pain Medicine | 1468 Gateway Ave, Rockwood, TN 37854-4143 | 2011-03-22 |
| 1194856773 | Gregory Richard Bowers | Pain Medicine | 1510 Hatcher Ln, Suite 1, Columbia, TN 38401-4813 | 2007-03-08 |
| 1912938291 | Robert Alan Coles | Pain Medicine | 1012 Executive Dr, Hixson, TN 37343-3993 | 2006-07-05 |
| 1952396384 | Giovanni Faccia | Pain Medicine | 230 E James M Campbell Blvd Ste 102, Columbia, TN 38401-0504 | 2005-09-12 |
| 1639644917 | Comprehensive Neurology Center, Pllc | Pain Medicine | 415 Henslee Dr, Dickson, TN 37055-2166 | 2018-10-12 |
| 1659855252 | Southern Pain and Regenerative Medicine PC | Pain Medicine | 1720 E Reelfoot Ave Ste 200, Union City, TN 38261-6049 | 2018-09-19 |
| 1083194237 | Spectrum Pain Clinics Inc. | Pain Medicine | 23 Sandstone Cir, Jackson, TN 38305-2073 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.