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CHARLOTTE PAIN MANAGEMENT CENTER INC
NPI 1275797714
General Practice in Port Charlotte, FL

Active since July 14, 2008CLIA 10D1018373 · Accreditation
3109 TAMIAMI TRL, UNIT 3, PORT CHARLOTTE, FL 33952(941) 629-3000(941) 629-6711 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 3, 2019, Apr 5, 2019 (2 updates tracked since 2019).

About Charlotte Pain Management Center Inc NPPES

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

CHARLOTTE PAIN MANAGEMENT CENTER INC (NPI 1275797714) is a healthcare organization registered as a general practice in Port Charlotte, Florida and active in the NPI registry since July 2008. The organization holds an CLIA Accreditation certificate valid through January 8, 2028 and lists Nancy J Harris, Owner, as its authorized official.

NPPES Registry Identity

NPI1275797714
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCHARLOTTE PAIN MANAGEMENT CENTER INC
Location Address3109 TAMIAMI TRL, UNIT 3Port Charlotte, FL 33952-8046
Mailing Address3109 Tamiami Trl, Unit 3Port Charlotte, FL 33952-8046 · (941) 629-3000 · Fax (941) 629-6711
Phone(941) 629-3000
Fax(941) 629-6711
Organization SubpartNo
Authorized OfficialNancy J HarrisOwner · (941) 629-3000
Enumeration DateJuly 14, 2008
Last NPPES UpdateJuly 3, 20192 updates tracked since enumeration
✔ NPI 1275797714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/Center · PainTaxonomy 261QP3300X
3109 TAMIAMI TRL, Port Charlotte, FL 33952
Open in Google Maps ↗

Other Identifiers 1

OtherRN1855592FL · Florida License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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)

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

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Charlotte Pain Management Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

John Hubicki, PA
Physical Therapist in Private Practice
NPI 1992038426
3109 TAMIAMI TRL SUITE 3
Port Charlotte, FL 33952
(941) 629-3000
✔ PECOSSame address
Joseph Condon, M.D.
Interventional Pain Management
NPI 1750310223
3417 TAMIAMI TRL STE A
Port Charlotte, FL 33952
(941) 344-9249
✔ PECOS✔ Accepts Medicare0.6 mi
Beverley Wyman, ARNP
Nurse Practitioner
NPI 1346548872
18385 LINGERLON AVE
Port Charlotte, FL 33948
(352) 275-9826
✔ PECOS✔ Accepts Medicare2.7 mi
Katy Hernandez Castro
Nurse Practitioner
NPI 1396345930
4116 SYMCO AVE
North Port, FL 34286
(941) 250-2297
✔ PECOS✔ Accepts Medicare8.2 mi
Brian Covello, MD
Interventional Radiology
NPI 1952864480
3231 MCMULLEN BOOTH RD
Safety Harbor, FL 34695
(727) 441-3711
✔ PECOS✔ Accepts Medicare81 mi
Anjan Ghosh, M.D.
Anesthesiology
NPI 1124089354
8146 CEREBELLUM WAY STE 102
Trinity, FL 34655
(727) 264-8865
✔ PECOS✔ Accepts Medicare91 mi
Catherine Stevens, ARNP
Nurse Practitioner
NPI 1669923041
4720 SALISBURY RD
Jacksonville, FL 32256
(855) 212-2273
✔ PECOS227 mi
George Arcos, DO
Pain Management
NPI 1255432878
1506 DAVE WARD DR
Conway, AR 72034
(501) 227-0184
✔ PECOS✔ Accepts Medicare828 mi
Tristan Shockley, MD
Physical Medicine and Rehabilitation
NPI 1932242542
14205 PARK CENTER DR SUITE 204
Laurel, MD 20707
(240) 786-1001
✔ PECOS887 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 10D1018373

Charlotte Pain Management Center Inc · Port Charlotte, FL
Active · expires Jan 8, 2028
CLIA Number10D1018373
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorTristan Shockley
Laboratory Phone(941) 629-3000
Laboratory LocationCharlotte Pain Management Center Inc3109 Tamiami Trail Suite 3, Port Charlotte, FL 33952
CLIA data matches this NPI record on: 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 Charlotte Pain Management Center Inc's NPI number?

The NPI number for Charlotte Pain Management Center Inc is 1275797714. It was assigned to this organization in the NPPES registry on July 14, 2008.

Where is Charlotte Pain Management Center Inc located?

Charlotte Pain Management Center Inc is located at 3109 Tamiami Trl Unit 3, Port Charlotte, FL 33952. The listed phone number is (941) 629-3000.

What is Charlotte Pain Management Center Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Charlotte Pain Management Center Inc enrolled in Medicare?

Yes. Charlotte Pain Management Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charlotte Pain Management Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 7 Medicare specialties reassign their Medicare billing to Charlotte Pain Management 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, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Charlotte Pain Management Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D1018373) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charlotte Pain Management Center Inc accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Charlotte Pain Management 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 Charlotte Pain Management Center Inc was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.