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INTERVENTIONAL PAIN CENTER
NPI 1083154819
Physical Medicine & Rehabilitation - Pain Medicine in Hendersonville, TN

Active since February 27, 2017CLIA Certified · 2 labs
353 NEW SHACKLE ISLAND RD STE 148C, HENDERSONVILLE, TN 37075(615) 972-1100(615) 537-4950 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2023, Oct 17, 2023, Jul 21, 2021 and 1 more (4 updates tracked since 2017).

About Interventional Pain Center NPPES

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

INTERVENTIONAL PAIN CENTER (NPI 1083154819) is a healthcare organization registered as a pain medicine in Hendersonville, Tennessee and active in the NPI registry since February 2017. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Nashville, and lists Joni Hardwick, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1083154819
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameINTERVENTIONAL PAIN CENTER, PLLC
Location Address353 NEW SHACKLE ISLAND RD STE 148CHendersonville, TN 37075-2366
Mailing Address353 New Shackle Island Rd Ste 148cHendersonville, TN 37075-2366 · (615) 972-1100 · Fax (615) 537-4950
Phone(615) 972-1100
Fax(615) 537-4950
Organization SubpartNo
Authorized OfficialJoni HardwickPractice Administrator · (615) 389-7852
Enumeration DateFebruary 27, 2017
Last NPPES UpdateJanuary 9, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1083154819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in TN · DO0000002339
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
353 NEW SHACKLE ISLAND RD STE 148C, Hendersonville, TN 37075
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Other Names 1

Doing Business AsInterventional Pain Center

Secondary Practice Location 1

Location 13443 Dickerson Pike, Suite 730Nashville, TN 37207-2519 · Phone (615) 972-1100 · Fax (615) 537-4950

Other Identifiers 1

Medicaid1531251TN

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

CLIA Laboratory Certificates CMS CLIA 2

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 44D2125451

Interventional Pain Center, PLLC · Nashville, TN
Active · expires Feb 6, 2027
CLIA Number44D2125451
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorDr. Brad P. Wilson
Laboratory Phone(615) 972-1100
Laboratory LocationInterventional Pain Center, PLLC3443 Dickerson Pike Ste 730, Nashville, TN 37207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2057204

Interventional Pain Center, PLLC · Hendersonville, TN
Active · expires Apr 10, 2027
CLIA Number44D2057204
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorDr. Brad P. Wilson
Laboratory Phone(615) 972-1100
Laboratory LocationInterventional Pain Center, PLLC353 New Shackle Island Rd, Ste 148-C, Hendersonville, TN 37075
CLIA data matches this NPI record on: Name Phone
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.

DR. BRAD P WILSON D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
353 NEW SHACKLE ISLAND RD STE 148C
HENDERSONVILLE, TN 37075
Sumner County (615) 972-1100
INTERVENTIONAL PAIN CENTER, PLLC
Physical Medicine & Rehabilitation (Pain Medicine)
353 NEW SHACKLE ISLAND RD STE 148C
HENDERSONVILLE, TN 37075
Sumner County (615) 972-1000
EDITH DEAN FNP
Nurse Practitioner (Family)
353 NEW SHACKLE ISLAND RD STE 148C
HENDERSONVILLE, TN 37075
Sumner County (615) 972-1100
MARGARET LOGAN ANP-BC
Nurse Practitioner (Adult Health)
353 NEW SHACKLE ISLAND RD STE 148C
HENDERSONVILLE, TN 37075
Sumner County (615) 972-1100
AMARA PROFFITT NP
Nurse Practitioner
353 NEW SHACKLE ISLAND RD STE 148C
HENDERSONVILLE, TN 37075
Sumner County (615) 972-1100
CLAYTON ROBERT WALKER PA-C
Physician Assistant
353 NEW SHACKLE ISLAND RD STE 148C
HENDERSONVILLE, TN 37075
Sumner County (615) 972-1100

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 Interventional Pain Center, PLLC's NPI number?

The NPI number for Interventional Pain Center, PLLC is 1083154819. It was assigned to this organization in the NPPES registry on February 27, 2017. The provider is doing business as Interventional Pain Center.

Where is Interventional Pain Center, PLLC located?

Interventional Pain Center, PLLC is located at 353 New Shackle Island Rd Ste 148C, Hendersonville, TN 37075. The listed phone number is (615) 972-1100.

What is Interventional Pain Center, PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does Interventional Pain Center, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Interventional Pain Center, PLLC was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.