PREFERRED PAIN MANAGEMENT, P.A, (NPI# 1710165501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710165501 |
| Entity Type | Organization |
| Organization Name | PREFERRED PAIN MANAGEMENT, P.A, |
| Practice Address |
245 Charlois Blvd Suite C Winston Salem NC 27103-1507 |
| Practice Telephone | 3367600706 |
| Practice Fax Number | 3367601927 |
| Mailing Telephone | 3367600706 |
| Mailing Fax Number | 3367601927 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2011-01-04 |
| Authorized Official Name | DR. DAVID L. SPIVEY (PRESIDENT) |
| Authorized Official Telephone | 3367600706 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 30582 | NC | Other Service Providers |
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
245 CHARLOIS BLVD SUITE C |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255989943 | Kellie Preslar Koontz | Nurse Practitioner | 245 Charlois Blvd, Winston Salem, NC 27103-1507 | 2019-08-27 |
| 1700327376 | Sue Wimbish | Dietitian, Registered | 245 Charlois Blvd, Winston Salem, NC 27103-1507 | 2017-03-16 |
| 1841689916 | Katie Halsey | Advanced Practice Midwife | 245 Charlois Blvd, Winston Salem, NC 27103 | 2015-01-13 |
| 1134558752 | Novant Medical Group Inc. | Obstetrics & Gynecology | 245 Charlois Blvd, Winston Salem, NC 27103-1507 | 2013-11-04 |
| 1558651778 | Preferred Pain Management | Durable Medical Equipment & Medical Supplies | 245 Charlois Blvd, Suite C, Winston Salem, NC 27103-1507 | 2011-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265905335 | Learning Services Corporation | Clinic/Center | 796 Recovery Rd, Creedmoor, NC 27522-9649 | 2019-01-10 |
| 1407281082 | Southeastern Regional Physician Services | Clinic/Center | 4901 Dawn Dr Ste 3300, Lumberton, NC 28360-8288 | 2013-09-13 |
| 1326376930 | Pain Clinic, Pllc | Clinic/Center | 1201 S 16th St, Suite C, Wilmington, NC 28401-6419 | 2009-11-20 |
| 1922612662 | Medicina Stonecrest | Clinic/Center | 810 Warren St, Greensboro, NC 27403-2340 | 2020-09-01 |
| 1134606544 | Triangle Pain Consultants | Clinic/Center | 8300 Health Park Ste 109, Raleigh, NC 27615-4731 | 2018-07-27 |
| 1538682216 | Pain Clinic of North Carolina, Pa | Clinic/Center | 16511 Northcross Dr, Suite A, Huntersville, NC 28078 | 2017-07-25 |
| 1669897724 | Pain Management Associates of North Carolina | Clinic/Center | 2270 Hendersonville Rd, Arden, NC 28704-2753 | 2014-02-26 |
| 1013332642 | Uma Pain & Spine Clinic, Pllc | Clinic/Center | 230 N Winstead Ave, Rocky Mount, NC 27804-2225 | 2014-02-18 |
| 1033548052 | Watauga Medical Center, Inc. | Clinic/Center | 336 Deerfield Rd, Boone, NC 28607-5008 | 2013-11-12 |
| 1598101974 | Carolina Pain and Weight Loss | Clinic/Center | 131 Welton Way, Mooresville, NC 28117-9163 | 2013-05-13 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on PREFERRED PAIN MANAGEMENT, P.A,.
| 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.