PAIN MD LLC (NPI# 1710380704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710380704 |
| Entity Type | Organization |
| Organization Name | PAIN MD LLC |
| Practice Address |
855 Bradley St Ste. A Concord NC 28025-2979 |
| Mailing Address |
Po Box 681789 Franklin TN 37068-1789 |
| Practice Telephone | 7047210535 |
| Mailing Telephone | 6155039000 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2015-11-10 |
| Authorized Official Name | MR. CARROLL E COMBS JR. (CORPORATE COUNSEL) |
| Authorized Official Telephone | 6154350553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841687845 | Pain Md LLC | Durable Medical Equipment & Medical Supplies | 144 Jack Farrar Ln, Ste. B, Tullahoma, TN 37388-2398 | 2015-04-17 |
| 1619373727 | Pain Md LLC | Prosthetic/Orthotic Supplier | 120 Chadwick Square Ct Ste A, Hendersonville, NC 28739-3200 | 2014-11-17 |
| 1033515143 | Pain Md LLC | Durable Medical Equipment & Medical Supplies | 125 Akers Farm Rd, Ste. B, Christiansburg, VA 24073-4866 | 2014-11-17 |
| 1861898975 | Pain Md LLC | Prosthetic/Orthotic Supplier | 1380 Eastchester Dr, Ste. 111, High Point, NC 27265-2658 | 2014-11-17 |
| 1417353525 | Pain Md LLC | Prosthetic/Orthotic Supplier | 2508 Ward Blvd, Wilson, NC 27893-1600 | 2014-11-17 |
| 1356747455 | Pain Md LLC | Durable Medical Equipment & Medical Supplies | 455 N Chancery St, Mcminnville, TN 37110-2049 | 2014-11-17 |
| 1316343429 | Pain Md LLC | Prosthetic/Orthotic Supplier | 1908 Caudle Dr, Ste. 100, Mount Airy, NC 27030-4321 | 2014-11-17 |
| 1720482094 | Pain Md LLC | Durable Medical Equipment & Medical Supplies | 105 Industrial Dr, Ste. 7, Mount Juliet, TN 37122-3167 | 2014-10-15 |
| 1134522857 | Pain Md LLC | Durable Medical Equipment & Medical Supplies | 1950 Us Highway 51 Byp N, Ste. C, Dyersburg, TN 38024-1896 | 2014-10-08 |
| 1336542315 | Pain Md LLC | Durable Medical Equipment & Medical Supplies | 1747 Medical Center Pkwy, Ste. 120, Murfreesboro, TN 37129-2563 | 2014-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Pain MD LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Virginia Business Entities | Pain MD LLC | 725 Cool Springs Blvd Ste 550, Franklin, Tennessee 37067-2713 |
| Street Address |
855 BRADLEY ST STE. A |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679610844 | Debra Lynn Knuckles | Nurse Practitioner | 855 Bradley St, Ste. A, Concord, NC 28025-2979 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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| 1164783304 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 157 Loudon Rd, Concord, NH 03301-5610 | 2012-06-05 |
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| 1710258355 | Medical Compression Systems, Inc. | Durable Medical Equipment & Medical Supplies | 2352 Main Street, Suite 102, Concord, MA 01742 | 2012-01-12 |
| 1528356334 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 4075 Sprig Dr Ste B, Concord, CA 94520 | 2011-07-13 |
| 1093009268 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 304 Sheep Davis Rd, Concord, NH 03301-5736 | 2011-06-06 |
| Find all providers in CONCORD | ||||
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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.