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JCMG PAIN MANAGEMENT
NPI 1164830337
Anesthesiology - Pain Medicine in Jefferson City, MO

Active since July 31, 2014CLIA 26D2118598 · Certificate of Compliance
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109(573) 635-5264 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jcmg Pain Management NPPES

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

JCMG PAIN MANAGEMENT (NPI 1164830337) is a healthcare organization registered as a pain medicine in Jefferson City, Missouri and active in the NPI registry since July 2014. The organization holds a CLIA Certificate of Compliance certificate valid through April 5, 2027 and lists Jeffrery Lee Patrick, President, as its authorized official.

NPPES Registry Identity

NPI1164830337
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameJEFFERSON CITY MEDICAL GROUP, PC
Location Address1241 W STADIUM BLVDJefferson City, MO 65109-6023
Mailing AddressPo Box 104240Jefferson City, MO 65110-4240 · (573) 635-5264
Phone(573) 635-5264
Organization SubpartNo
Authorized OfficialJeffrery Lee PatrickPresident · (573) 635-5264
Enumeration DateJuly 31, 2014
Last NPPES UpdateDecember 26, 2018
✔ NPI 1164830337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in MO · 2002003282
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

1241 W STADIUM BLVD, Jefferson City, MO 65109
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Other Names 1

Doing Business AsJcmg Pain Management

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Compliance 26D2118598

Jefferson City Medical Group · Jefferson City, MO
Active · expires Apr 5, 2027
CLIA Number26D2118598
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorTheodore Chang
Laboratory Phone(501) 225-1400
Laboratory LocationJefferson City Medical Group1241 West Stadium Blvd, Jefferson City, MO 65109
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

SARAH L FROEMSDORF MSN, RNC, CS-FNP-CDE
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 635-5264
DR. PHILIP J. WILSON II D.O.
Ophthalmology
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 556-7709
DR. ROBERT P. WANKUM M.D.
Ophthalmology
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 556-7709
DR. CHARLES J. LANDSBAUM M.D.
Internal Medicine (Gastroenterology)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 635-5264
DR. DAMASUS S. JAYAMANNE M.D.
Internal Medicine (Pulmonary Disease)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 635-5264
DR. JONATHAN M. ROBERTS M.D.
Surgery
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 556-7722
DR. WILLIAM H. MARSHALL M.D.
Obstetrics & Gynecology (Gynecology)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 635-5264
DR. CHANDRA N PRASAD M.D.
Surgery
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 556-7722

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 Jefferson City Medical Group, PC's NPI number?

The NPI number for Jefferson City Medical Group, PC is 1164830337. It was assigned to this organization in the NPPES registry on July 31, 2014.

Where is Jefferson City Medical Group, PC located?

Jefferson City Medical Group, PC is located at 1241 W Stadium Blvd, Jefferson City, MO 65109. The listed phone number is (573) 635-5264.

What is Jefferson City Medical Group, PC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Jefferson City Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 26D2118598) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson City Medical Group, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Jefferson City Medical Group, PC 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 Jefferson City Medical Group, PC was last updated on December 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.