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PORT ST LUCIE PAIN MANAGEMENT SPECIALISTS INC
NPI 1114786001
Clinic/Center - Pain in Port St Lucie, FL

Active since March 14, 2024CLIA 10D1090608 · Waiver
8235 S US HIGHWAY 1, PORT ST LUCIE, FL 34952(772) 335-7246(772) 335-7202 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Port St Lucie Pain Management Specialists Inc NPPES

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

PORT ST LUCIE PAIN MANAGEMENT SPECIALISTS INC (NPI 1114786001), doing business as Port St Lucie Pain Management Specialists, is a healthcare organization registered as a pain in Port St Lucie, Florida and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Shannen Seversen, President, as its authorized official.

NPPES Registry Identity

NPI1114786001
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePORT ST LUCIE PAIN MANAGEMENT SPECIALISTS INC
Location Address8235 S US HIGHWAY 1Port St Lucie, FL 34952-2848
Mailing Address8235 S Us Highway 1Port St Lucie, FL 34952-2848 · (772) 335-7246 · Fax (772) 335-7202
Phone(772) 335-7246
Fax(772) 335-7202
Organization SubpartNo
Authorized OfficialShannen SeversenPresident · (561) 292-3747
Enumeration DateMarch 14, 2024
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1114786001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
8235 S US HIGHWAY 1, Port St Lucie, FL 34952
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Other Names 1

Doing Business AsPort St Lucie Pain Management Specialists

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

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 10D1090608

Port St Lucie Pain Management · Port Saint Lucie, FL
Active · expires Oct 14, 2026
CLIA Number10D1090608
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorAnthony G. Rogers MD
Laboratory Phone(772) 335-7246
Laboratory LocationPort St Lucie Pain Management8235 S Us 1, Port Saint Lucie, FL 34952
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE TUTTLE III MD
Obstetrics & Gynecology
8235 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
St. Lucie County (561) 601-7343

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 Port St Lucie Pain Management Specialists Inc's NPI number?

The NPI number for Port St Lucie Pain Management Specialists Inc is 1114786001. It was assigned to this organization in the NPPES registry on March 14, 2024. The provider is doing business as Port St Lucie Pain Management Specialists.

Where is Port St Lucie Pain Management Specialists Inc located?

Port St Lucie Pain Management Specialists Inc is located at 8235 S Us Highway 1, Port St Lucie, FL 34952. The listed phone number is (772) 335-7246.

What is Port St Lucie Pain Management Specialists Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does Port St Lucie Pain Management Specialists Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1090608) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Port St Lucie Pain Management Specialists Inc was last updated on February 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.