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DYNAMIC PAIN & WELLNESS LLC
NPI 1003684697
Pain Medicine - Interventional Pain Medicine in Pensacola, FL

Active since December 13, 2023CLIA 10D2107566 · Accreditation
5111 N 12TH AVE, PENSACOLA, FL 32504(850) 226-6801(877) 413-5104 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2026, Dec 13, 2023 (2 updates tracked since 2023).

About Dynamic Pain & Wellness Llc NPPES

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

DYNAMIC PAIN & WELLNESS LLC (NPI 1003684697), doing business as Dynamic Pain & Wellness Pllc, is a healthcare organization registered as an interventional pain medicine in Pensacola, Florida and active in the NPI registry since December 2023. The organization holds an CLIA Accreditation certificate valid through March 24, 2028 and lists Sarah Bailey, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1003684697
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameDYNAMIC PAIN & WELLNESS LLC
Location Address5111 N 12TH AVEPensacola, FL 32504-8918
Mailing Address930 Mar Walt Drive, Unit CFort Walton Beach, FL 32547 · (850) 226-6801 · Fax (877) 413-5104
Phone(850) 226-6801
Fax(877) 413-5104
Organization SubpartNo
Authorized OfficialSarah BaileyCredentialing · (850) 331-3582
Enumeration DateDecember 13, 2023
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1003684697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
5111 N 12TH AVE, Pensacola, FL 32504
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Other Names 1

Former Legal Business NameDynamic Pain & Wellness Pllc

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 10D2107566

Dynamic Pain & Wellness · Crestview, FL
Active · expires Mar 24, 2028
CLIA Number10D2107566
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorDr. Tucker Greene
Laboratory Phone(850) 226-6801
Laboratory LocationDynamic Pain & Wellness210 South Main Street, Crestview, FL 32536
CLIA data matches this NPI record on: Name 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 6

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

DYNAMIC CHIRO & PT LLC
Chiropractor
5111 N 12TH AVE
PENSACOLA, FL 32504
Escambia County (850) 741-3310
RALYN DEE NOLAND FNP-C
Nurse Practitioner (Primary Care)
5111 N 12TH AVE
PENSACOLA, FL 32504
Escambia County (850) 226-6801
SENIOR HOME CARE, INC.
Home Health
5111 N 12TH AVE, STE A
PENSACOLA, FL 32504
Escambia County (850) 434-8662
PEARLAS A. SANBORN PT
Physical Therapist
5111 N 12TH AVE
PENSACOLA, FL 32504
Escambia County (850) 741-3310
DYNAMIC PAIN & WELLNESS LLC
Physician Assistant
5111 N 12TH AVE
PENSACOLA, FL 32504
Escambia County (850) 226-6801
JESSICA LANETTE GAPUSAN
Nurse Practitioner (Family)
5111 N 12TH AVE
PENSACOLA, FL 32504
Escambia County (904) 309-2383

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 Dynamic Pain & Wellness LLC's NPI number?

The NPI number for Dynamic Pain & Wellness LLC is 1003684697. It was assigned to this organization in the NPPES registry on December 13, 2023. The provider was formerly known as Dynamic Pain & Wellness PLLC.

Where is Dynamic Pain & Wellness LLC located?

Dynamic Pain & Wellness LLC is located at 5111 N 12th Ave, Pensacola, FL 32504. The listed phone number is (850) 226-6801.

What is Dynamic Pain & Wellness LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Dynamic Pain & Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2107566) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dynamic Pain & Wellness LLC was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.