ANNAPOLIS PAIN MANAGEMENT, LLC
NPI 1073052353
Pain Medicine - Interventional Pain Medicine in Annapolis, MD

Active since February 20, 2017
45 OLD SOLOMONS ISLAND RD, SUITE 205, ANNAPOLIS, MD 21401(410) 224-4348(410) 224-4732 Get Directions Write a Review

NPPES record last updated: August 28, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2017, Feb 20, 2017 (2 updates tracked since 2017).

About Annapolis Pain Management, Llc NPPES

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

ANNAPOLIS PAIN MANAGEMENT, LLC (NPI 1073052353), doing business as Green Life Chiropractic & Wellness, is a healthcare organization registered as an interventional pain medicine in Annapolis, Maryland and active in the NPI registry since February 2017. The organization lists Brandt Green, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1073052353
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameANNAPOLIS PAIN MANAGEMENT, LLC
Location Address45 OLD SOLOMONS ISLAND RD, SUITE 205Annapolis, MD 21401-3858
Mailing Address45 Old Solomons Island Rd, Suite 205Annapolis, MD 21401-3858 · (410) 224-4348 · Fax (410) 224-4732
Fax(410) 224-4732
Organization SubpartNo
Authorized OfficialBrandt GreenDoctor Of Chiropractic · (410) 224-4348
Enumeration DateFebruary 20, 2017
Last NPPES UpdateAugust 28, 20172 updates tracked since enumeration
✔ NPI 1073052353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in MD · S03711
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.
45 OLD SOLOMONS ISLAND RD, Annapolis, MD 21401

Other Names 1

Former Legal Business NameGreen Life Chiropractic & Wellness

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annapolis Pain Management, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20200713003223DME · Medical Supply CompanyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Annapolis Pain Management, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1346799038
45 OLD SOLOMONS ISLAND RD STE 205
Annapolis, MD 21401
(410) 224-4348
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912683848
45 OLD SOLOMONS ISLAND ROAD 205
Annapolis, MD 21401
(410) 224-4348
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1275873259
45 OLD SOLOMONS ISLAND RD SUITE 102
Annapolis, MD 21401
(410) 224-4348
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1669814257
45 OLD SOLOMONS ISLAND RD STE 205
Annapolis, MD 21401
(410) 224-2348
✔ Accepts MedicareSame address
Chiropractic
NPI 1700398138
45 OLD SOLOMONS ISLAND RD STE 205
Annapolis, MD 21401
(410) 443-4838
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1699388835
12150 ANNAPOLIS RD STE 201
Glenn Dale, MD 20769
(301) 352-8370
✔ Accepts Medicare14 mi
Chiropractic
NPI 1588808794
11945 GRANDHAVEN DR SUITE F
Murrells Inlet, SC 29576
(843) 357-7200
✔ Accepts Medicare397 mi
Chiropractic
NPI 1568281673
8200 WEDNESBURY LN STE 230
Houston, TX 77074
(877) 315-8080
1,257 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Annapolis Pain Management, LLC carries, from the Medicare DMEPOS supplier directory.

Annapolis Pain Management, LLC

DMEPOS supplier · Annapolis, MD
✔

Accepts Medicare assignment

Annapolis Pain Management, LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20460647
Medicare Participant SinceJuly 31, 2017
Supplier Location45 Old Solomons Island Rd Ste 205Annapolis, MD 21401
Supplier Specialties
Medical Supply Company Other Orthotic Personnel

Medicare Product Categories

Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Traction Equipment
Traction tables, Traction machines, Inversion tables
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Lymphedema Compression Treatment Items
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Annapolis Pain Management, LLC's NPI number?

The NPI number for Annapolis Pain Management, LLC is 1073052353. It was assigned to this organization in the NPPES registry on February 20, 2017. The provider was formerly known as Green Life Chiropractic & Wellness.

Where is Annapolis Pain Management, LLC located?

Annapolis Pain Management, LLC is located at 45 Old Solomons Island Rd Suite 205, Annapolis, MD 21401. The listed phone number is (410) 224-4348.

What is Annapolis Pain Management, LLC's specialty?

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

Is Annapolis Pain Management, LLC enrolled in Medicare?

Yes. Annapolis Pain Management, LLC is registered in the Medicare PECOS enrollment system.

When is Annapolis Pain Management, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Maryland, Medical Supply Company) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Annapolis Pain Management, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Annapolis Pain Management, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Chiropractic (4), Nurse Practitioner (2) and Physical Therapist in Private Practice (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Annapolis Pain Management, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Annapolis Pain Management, LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Annapolis Pain Management, LLC was last updated on August 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.