SPECTRUM PAIN CLINICS INC.
NPI 1083194237
Pain Medicine - Interventional Pain Medicine in Jackson, TN
- Organization
- Pain Medicine
- Interventional Pain Medicine
- CLIA Number: 44D2159400
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-17-2026
About SPECTRUM PAIN CLINICS INC.
This page provides the complete NPI Profile along with additional information for Spectrum Pain Clinics Inc., a provider established in Jackson, Tennessee operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1083194237 assigned on August 2018. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Spectrum Pain Clinics Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Joy J Johnson (Director Of Contracting)
- NPI
- 1083194237 Verify this NPI
- Provider Name
- SPECTRUM PAIN CLINICS INC.
- Entity Type
- Organization
- Location Address
- 23 SANDSTONE CIR JACKSON, TN 38305
- Location Phone
- (731) 265-6946
- Location Fax
- (731) 265-6947
- Mailing Address
- 311 S 3RD ST UNION CITY, TN 38261
- Mailing Phone
- (731) 507-0062
- Mailing Fax
- (731) 507-0068
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-17-2018
- Last Update Date
- 08-17-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2159400
- Facility Type
- Physician Office
- Certificate Effective Date
- December 18, 2024
- Certificate Expiration Date
- December 17, 2026
- Laboratory Director
- DR. JEFFREY F. HALL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Spectrum Pain Clinics Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083194237, enumerated as an "organization" on August 17, 2018.
The provider is located at 23 SANDSTONE CIR JACKSON, TN 38305 and the phone number is (731) 265-6946.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
