PROFESSIONAL PAIN MANAGEMENT, LLC
NPI 1003109646
Nurse Practitioner - Family in Cleveland, TN

Active since May 16, 2011
301 KEITH ST SW, SUITE 204, CLEVELAND, TN 37311(423) 790-7500(423) 790-5299 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Pain Management, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL PAIN MANAGEMENT, LLC (NPI 1003109646) is a healthcare organization registered as a family in Cleveland, Tennessee and active in the NPI registry since May 2011. The organization lists David S. Cofer, Owner, as its authorized official.

NPPES Registry Identity

NPI1003109646
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePROFESSIONAL PAIN MANAGEMENT, LLC
Location Address301 KEITH ST SW, SUITE 204Cleveland, TN 37311-5808
Mailing AddressPo Box 4350Cleveland, TN 37320-4350 · (423) 790-7500 · Fax (423) 790-5299
Fax(423) 790-5299
Organization SubpartNo
Authorized OfficialDavid S. CoferOwner · (423) 790-7500
Enumeration DateMay 16, 2011
NPI 1003109646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 13528
301 KEITH ST SW, Cleveland, TN 37311

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Pain Management, LLC's NPI number?

The NPI number for Professional Pain Management, LLC is 1003109646. It was assigned to this organization in the NPPES registry on May 16, 2011.

Where is Professional Pain Management, LLC located?

Professional Pain Management, LLC is located at 301 Keith St SW Suite 204, Cleveland, TN 37311. The listed phone number is (423) 790-7500.

What is Professional Pain Management, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Professional Pain Management, LLC was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.