SOUTHERN PAIN AND REGENERATIVE MEDICINE PC (NPI# 1659855252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659855252 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PAIN AND REGENERATIVE MEDICINE PC |
| Practice Address |
1720 E Reelfoot Ave Ste 200 Union City TN 38261-6049 |
| Practice Telephone | 9013500678 |
| Practice Fax Number | 9013500677 |
| Mailing Telephone | 9013500678 |
| Mailing Fax Number | 9013500677 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| 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 |
|---|---|---|---|---|
| 1376026310 | Southern Pain and Regenerative Medicine PC | Pain Medicine | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2018-09-14 |
| 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 |
1720 E REELFOOT AVE STE 200 |
| City | UNION CITY |
| State | TN |
| Zip Code | 38261-6049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175854 | Sherri L Randolph | Nurse Practitioner | 1720 E Reelfoot Ave Ste 200, Union City, TN 38261 | 2005-06-22 |
| 1164744090 | Kimberly Kaye Norwood | Nurse Practitioner | 1720 E Reelfoot Ave Ste 200, Union City, TN 38261-6049 | 2010-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540200 | Brandi N Rose | Nurse Practitioner | 1109 E Reelfoot Ave Ste A, Union City, TN 38261 | 2015-02-13 |
| 1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
| 1548413545 | Vip Transpotation | Non-emergency Medical Transport (VAN) | 3888 Ken-tenn Hwy, Union City, TN 38261 | 2008-11-04 |
| 1902052137 | Michelle Davis Hudspeth | Speech-Language Pathologist | 1105 Sunswept Drive, Union City, TN 38261 | 2008-08-07 |
| 1053581744 | Terrell Clinic LLC | Nurse Practitioner | 701 East Reelfoot Ave, Suite 100, Union City, TN 38261 | 2008-03-10 |
| 1275673212 | Kristy Anne Mclaughlin | Counselor | 108 S 1st St, Union City, TN 38261 | 2007-02-07 |
| 1407900970 | Johnny R Miller Dmd Family Dentistry Inc | Dentist | 1209 Russell St, Union City, TN 38261 | 2007-01-22 |
| 1235223017 | Gabriel Paul Sullivan | Dentist | 1007 E Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1003900887 | Gabe Sullivan Dds Plc | Dentist | 1007 East Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1144312521 | Bhekumuzi Mcglen Khumalo | Podiatrist | 1190 E. Reelfoot Ave, Suite D, Union City, TN 38261 | 2006-09-29 |
| Find all providers in zip 38261 | ||||
| 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 |
|---|---|---|---|---|
| 1750708301 | Kizer Clinic Pllc | Pain Medicine | 1012 S Miles Ave, Union City, TN 38261-5432 | 2014-03-20 |
| 1649554759 | Pinnacle Pain Management, Pllc | Pain Medicine | 700 Sherrill St, Suite B, Union City, TN 38261-5891 | 2011-10-07 |
| 1700063849 | Varinder Dhillon | Pain Medicine | 510 43rd St, Union City, NJ 07087-2612 | 2008-01-30 |
| 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 |
| 1376026310 | Southern Pain and Regenerative Medicine PC | Pain Medicine | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2018-09-14 |
| 1083194237 | Spectrum Pain Clinics Inc. | Pain Medicine | 23 Sandstone Cir, Jackson, TN 38305-2073 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
| City | UNION CITY |
| Zip Code | 38261 |
Please comment or provide details below to improve the information on SOUTHERN PAIN AND REGENERATIVE MEDICINE PC.
| 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.