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WAKE SPINE AND PAIN SPECIALISTS, PC
NPI 1003550443
Anesthesiology - Pain Medicine in Greensboro, NC

Active since April 22, 2022CLIA 34D2047707 · Accreditation
1511 WESTOVER TER STE 107, GREENSBORO, NC 27408(336) 398-5155(336) 398-5156 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wake Spine And Pain Specialists, Pc NPPES

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

WAKE SPINE AND PAIN SPECIALISTS, PC (NPI 1003550443) is a healthcare organization registered as a pain medicine in Greensboro, North Carolina and active in the NPI registry since April 2022. The organization holds an CLIA Accreditation certificate valid through May 12, 2027 and lists Vijaysinha Mandhare, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003550443
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameWAKE SPINE AND PAIN SPECIALISTS, PC
Location Address1511 WESTOVER TER STE 107Greensboro, NC 27408-7122
Mailing Address3801 Wake Forest Rd Ste 210Raleigh, NC 27609-6864 · (919) 787-7246 · Fax (919) 787-7247
Phone(336) 398-5155
Fax(336) 398-5156
Organization SubpartYes
Authorized OfficialVijaysinha MandhareMedical Director · (919) 787-7246
Enumeration DateApril 22, 2022
NPPES CertifiedApril 22, 2022
✔ NPI 1003550443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
1511 WESTOVER TER STE 107, Greensboro, NC 27408
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D2047707

Wake Spine & Pain Specialists, LLC · Garner, NC
Active · expires May 12, 2027
CLIA Number34D2047707
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorDr. Julia A. Moore
Laboratory Phone(919) 787-7246
Laboratory LocationWake Spine & Pain Specialists, LLC510 Timber Drive, Suite, 105, Garner, NC 27529
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JESSICA LIN SALMON APRN, FNP-C
Nurse Practitioner (Family)
1511 WESTOVER TER STE 107
GREENSBORO, NC 27408
Guilford County (336) 398-5155
MR. JOE C. CHANG PA-C, L.AC
Physician Assistant
1511 WESTOVER TER STE 107
GREENSBORO, NC 27408
Guilford County (919) 787-7246

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 Wake Spine And Pain Specialists, PC's NPI number?

The NPI number for Wake Spine And Pain Specialists, PC is 1003550443. It was assigned to this organization in the NPPES registry on April 22, 2022.

Where is Wake Spine And Pain Specialists, PC located?

Wake Spine And Pain Specialists, PC is located at 1511 Westover Ter Ste 107, Greensboro, NC 27408. The listed phone number is (336) 398-5155.

What is Wake Spine And Pain Specialists, PC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Wake Spine And Pain Specialists, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D2047707) is associated with this NPI, valid through May 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wake Spine And Pain Specialists, PC was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.