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: July 19, 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
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

Other Identifiers 1

OtherRN1855592FL · Florida License

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.

Other Providers at the Same Location NPPES 4

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

Pain Medicine (Pain Medicine)
3109 TAMIAMI TRL, UNIT 3
PORT CHARLOTTE, FL 33952
Specialist
3109 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Physician Assistant (Medical)
3109 TAMIAMI TRL, SUITE 3
PORT CHARLOTTE, FL 33952
Pain Medicine (Pain Medicine)
3109 TAMIAMI TRL, UNIT 3
PORT CHARLOTTE, FL 33952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275797714, enumerated as an "organization" on July 14, 2008.

The provider is located at 3109 TAMIAMI TRL UNIT 3 PORT CHARLOTTE, FL 33952 and the phone number is (941) 629-3000.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.