PAIN MD LLC (NPI# 1811390891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811390891 |
| Entity Type | Organization |
| Organization Name | PAIN MD LLC |
| Practice Address |
4147 Highway 127 N Ste. 102 Crossville TN 38571-7520 |
| Mailing Address |
Po Box 681789 Franklin TN 37068-1789 |
| Practice Telephone | 9314561223 |
| Mailing Telephone | 6155039000 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2015-10-16 |
| 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 | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 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 |
| Street Address |
4147 HIGHWAY 127 N STE. 102 |
| City | CROSSVILLE |
| State | TN |
| Zip Code | 38571-7520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013158351 | Blue Mountain Medical Associates | Specialist | 4147 Highway 127 N, Suite 102, Crossville, TN 38571-7520 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912254095 | Constance Leigh Joyner | Occupational Therapist | 29 Lakeshore Terrace, Unit #1, Crossville, TN 38571 | 2012-08-08 |
| 1730788274 | Gary Justin Farr | Massage Therapist | 978 Fred Ford Rd, Crossville, TN 38571-0261 | 2020-10-24 |
| 1932766730 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4325 Highway 127 N Ste P, Crossville, TN 38571-0587 | 2019-05-28 |
| 1669554937 | Robert Edmonds | Counselor | 4325 Highway 127 N, Crossville, TN 38571-0587 | 2006-10-19 |
| 1437509429 | Thomas Anthony Moore | Occupational Therapist | 180 Thompson Rd, Crossville, TN 38571-0755 | 2016-06-21 |
| 1386897478 | William Nicholson Owens | Pharmacist | 3132 Peavine Firetower Rd, Crossville, TN 38571-0928 | 2008-11-03 |
| 1366431876 | Deborah Ann Johnson | Counselor | 569 Peavine Firetower Rd, Crossville, TN 38571-0997 | 2005-10-18 |
| 1538632039 | Trista Moseley | Occupational Therapy Assistant | 812 Wattenbarger Rd, Crossville, TN 38571-1212 | 2019-01-07 |
| 1255803755 | Rebekah Anne Ordway | Non-emergency Medical Transport (VAN) | 268 Plateau Rd, Crossville, TN 38571-2049 | 2018-12-20 |
| 1558826305 | Sogo | Non-emergency Medical Transport (VAN) | 268 Plateau Rd, Crossville, TN 38571-2049 | 2019-02-06 |
| Find all providers in zip 38571 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083849962 | Restorative Health Services Inc | Prosthetic/Orthotic Supplier | 1700 West Ave Ste 101, Crossville, TN 38555-6022 | 2009-05-21 |
| 1568473999 | Putnam County Orthopedic Appliance Co., Inc. | Prosthetic/Orthotic Supplier | 1700 West Ave, Suite 101, Crossville, TN 38555-6090 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100990 | Porsche Vaughn | Prosthetic/Orthotic Supplier | 2203 Clarksville Pike, Nashville, TN 37208-1053 | 2020-09-24 |
| 1245845148 | Hopeful Strands LLC | Prosthetic/Orthotic Supplier | 5852 Sunny Morning Dr, Memphis, TN 38141 | 2020-09-09 |
| 1134737562 | Carefluent Connect, LLC | Prosthetic/Orthotic Supplier | 60 Athlete's Way N, Suite 300, Mt Juliet, TN 37122-4440 | 2020-07-22 |
| 1609484450 | Crowned By Court Rx | Prosthetic/Orthotic Supplier | 6339 Charlotte Pike # 928, Nashville, TN 37209-2926 | 2020-07-17 |
| 1558982868 | Kcb Medical Wigs | Prosthetic/Orthotic Supplier | 4246 Hillgate Cv, Memphis, TN 38118-6739 | 2020-04-28 |
| 1154955268 | A Step Ahead Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1415 Old Weisgarber Rd Ste 360, Knoxville, TN 37909-1327 | 2020-02-27 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1841834322 | Southern Orthocare, Inc | Prosthetic/Orthotic Supplier | 11440 Parkside Dr Ste 304, Knoxville, TN 37934-2662 | 2019-10-29 |
| 1366901779 | Vascular and Vein Institute of The South, Pllc | Prosthetic/Orthotic Supplier | 6029 Walnut Grove Rd Ste 109, Memphis, TN 38120-2112 | 2019-03-15 |
| 1043775745 | Restorative Health Services, Inc | Prosthetic/Orthotic Supplier | 103 N Willow Ave, Cookeville, TN 38501-2369 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | CROSSVILLE |
| Zip Code | 38571 |
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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.