PAIN TREATMENT CENTERS OF AMERICA, PLLC
NPI 1063995504
Durable Medical Equipment & Medical Supplies in Jonesboro, AR

Q: What is Pain Treatment Centers Of America, PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since September 11, 2018CLIA 04D2158736 · Waiver

1710 MAYFIELD DR, JONESBORO, AR 72401(501) 712-2571(888) 630-8885 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2023, Sep 11, 2018 (2 updates tracked since 2018).

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About Pain Treatment Centers Of America, Pllc NPPES

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

PAIN TREATMENT CENTERS OF AMERICA, PLLC (NPI 1063995504) is a healthcare organization registered as a durable medical equipment & medical supplies in Jonesboro, Arkansas and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through December 4, 2026 and lists Kristen Nehk, Coo Of Rcm Services, as its authorized official.

NPPES Registry Identity

NPI1063995504

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NamePAIN TREATMENT CENTERS OF AMERICA, PLLC

Location Address1710 MAYFIELD DRJonesboro, AR 72401-4563

Mailing Address108 N Shackleford RdLittle Rock, AR 72211-2840 · (501) 712-2571 · Fax (888) 630-8885

Phone(501) 712-2571

Fax(888) 630-8885

Organization SubpartNo

Authorized OfficialKristen NehkCoo Of Rcm Services · (951) 541-6889

Enumeration DateSeptember 11, 2018

Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ NPI 1063995504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

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.

1710 MAYFIELD DR, Jonesboro, AR 72401

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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 Waiver 04D2158736

Pain Treatment Centers Of America, Jonesboro Clinic · Jonesboro, AR

Active · expires Dec 4, 2026

CLIA Number04D2158736

Laboratory TypePhysician Office

Certificate Effective DateDecember 5, 2024

Certificate Expiration DateDecember 4, 2026

Laboratory DirectorDr. Meraj Siddiqui

Laboratory Phone(870) 738-8590

Laboratory LocationPain Treatment Centers Of America, Jonesboro Clinic1710 Mayfield Drive, Jonesboro, AR 72401

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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.

INDEPENDENCE ANESTHESIA LLC

Nurse Practitioner