FULL LIFE PAIN AND DEPRESSION CENTER
NPI 1114524824
Pain Medicine - Pain Medicine in Grantham, NH

Q: What is Faodail Pain Management, PLLC's NPI number?

The NPI number for Faodail Pain Management, PLLC is 1114524824. It was assigned to this organization in the NPPES registry on October 6, 2020. The provider is doing business as Full Life Pain And Depression Center.

Q: What is Faodail Pain Management, PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Active since October 06, 2020

151 ROUTE 10 N UNIT 2, GRANTHAM, NH 03753(603) 309-3902(603) 843-8176 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 25, 2023, Nov 11, 2020, Oct 6, 2020 (3 updates tracked since 2020).

On this page

About Full Life Pain And Depression Center NPPES

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

FULL LIFE PAIN AND DEPRESSION CENTER (NPI 1114524824) is a healthcare organization registered as a pain medicine in Grantham, New Hampshire and active in the NPI registry since October 2020. The organization lists Melynda Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1114524824

Entity TypeOrganization

Primary Taxonomy208VP0000X

Legal Business NameFAODAIL PAIN MANAGEMENT, PLLC

Location Address151 ROUTE 10 N UNIT 2Grantham, NH 03753-3621

Mailing Address252 Mechanic StLebanon, NH 03766-2613 · (603) 448-1941

Phone(603) 309-3902

Fax(603) 843-8176

Organization SubpartNo

Authorized OfficialMelynda WallaceOwner · (603) 309-3902

Enumeration DateOctober 6, 2020

Last NPPES UpdateJuly 25, 20233 updates tracked since enumeration

NPPES CertifiedJuly 25, 2023

✔ NPI 1114524824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0000X

Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

151 ROUTE 10 N UNIT 2, Grantham, NH 03753

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Other Names 1

Doing Business AsFull Life Pain And Depression Center

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Full Life Pain And Depression Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Full Life Pain And Depression Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melynda Wallace, CRNA, APRN

Certified Registered Nurse Anesthetist (CRNA)

NPI 1881672137

151 ROUTE 10 N UNIT 2
Grantham, NH 03753

(603) 309-3902

✔ PECOS✔ Accepts MedicareSame address

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

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 Faodail Pain Management, PLLC's NPI number?

The NPI number for Faodail Pain Management, PLLC is 1114524824. It was assigned to this organization in the NPPES registry on October 6, 2020. The provider is doing business as Full Life Pain And Depression Center.

Where is Faodail Pain Management, PLLC located?

Faodail Pain Management, PLLC is located at 151 Route 10 N Unit 2, Grantham, NH 03753. The listed phone number is (603) 309-3902.

What is Faodail Pain Management, PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Faodail Pain Management, PLLC enrolled in Medicare?

Yes. Faodail Pain Management, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Faodail Pain Management, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Faodail Pain Management, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Faodail Pain Management, PLLC accept?

Health plans from WellSense Health Plan list Faodail Pain Management, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Faodail Pain Management, PLLC was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.