SW FLORIDA PAIN CENTER INC
NPI 1215006549
Specialist in Port Charlotte, FL

Active since November 08, 2006CLIA 10D1002940 · Accreditation
19621 COCHRAN BLVD, UNIT #1, PORT CHARLOTTE, FL 33948(941) 627-9095(941) 629-6993 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Sep 22, 2021 (2 updates tracked since 2021).

About Sw Florida Pain Center Inc NPPES

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

SW FLORIDA PAIN CENTER INC (NPI 1215006549) is a healthcare organization registered as a specialist in Port Charlotte, Florida and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through January 7, 2028, maintains a secondary practice location in Venice, and lists Robert D Ball, Director, as its authorized official.

NPPES Registry Identity

NPI1215006549
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSW FLORIDA PAIN CENTER INC
Location Address19621 COCHRAN BLVD, UNIT #1Port Charlotte, FL 33948
Mailing Address19621 Cochran Blvd Ste 3Port Charlotte, FL 33948-2070 · (941) 627-9095 · Fax (941) 629-6993
Fax(941) 629-6993
Organization SubpartNo
Authorized OfficialRobert D BallDirector · (941) 627-9095
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1215006549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
19621 COCHRAN BLVD, Port Charlotte, FL 33948

Secondary Practice Location 1

Location 11299 Jacaranda BlvdVenice, FL 34292 · Phone (941) 303-5505

Other Identifiers 1

Other21632FL · Bcbs

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sw Florida Pain Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to SW Florida Pain Center Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Interventional Pain Management
NPI 1841454477
19621 COCHRAN BLVD UNIT #1
Port Charlotte, FL 33948
(941) 627-9095
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1750764148
19621 COCHRAN BLVD STE 3
Port Charlotte, FL 33948
(941) 627-9095
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508419656
3920 BEE RIDGE RD UNIT S
Sarasota, FL 34233
(941) 867-7463
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1174407456
11296 THURSTON CHASE
Fort Myers, FL 33913
(239) 600-5476
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1023515681
401 W EADS PKWY STE 320
Lawrenceburg, IN 47025
(812) 539-2900
✔ PECOS849 mi

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

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 Accreditation 10D1002940

SW Florida Pain Center Inc · Port Charlotte, FL
Active · expires Jan 7, 2028
CLIA Number10D1002940
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorDr. Robert Ball
Laboratory Phone(941) 627-9095
Laboratory LocationSW Florida Pain Center Inc19621 Cochran Blvd Unit 1, Port Charlotte, FL 33948
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 SW Florida Pain Center Inc's NPI number?

The NPI number for SW Florida Pain Center Inc is 1215006549. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is SW Florida Pain Center Inc located?

SW Florida Pain Center Inc is located at 19621 Cochran Blvd Unit #1, Port Charlotte, FL 33948. The listed phone number is (941) 627-9095.

What is SW Florida Pain Center Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is SW Florida Pain Center Inc enrolled in Medicare?

Yes. SW Florida Pain Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through SW Florida Pain Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to SW Florida Pain Center Inc. 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. The largest specialties are Nurse Practitioner (3), Anesthesiology (1) and Interventional Pain Management (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does SW Florida Pain Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D1002940) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does SW Florida Pain Center Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list SW Florida Pain Center Inc 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 SW Florida Pain Center Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.