SOUTHERN PAIN AND REHABILITATION INC
NPI 1295377497
Physical Medicine & Rehabilitation - Pain Medicine in Paducah, KY

Active since October 09, 2019
5925 OLD HWY 60, STE D, PADUCAH, KY 42001(270) 228-0118 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2025, Mar 11, 2025, May 24, 2021 and 4 more (7 updates tracked since 2019).

About Southern Pain And Rehabilitation Inc NPPES

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

SOUTHERN PAIN AND REHABILITATION INC (NPI 1295377497), doing business as Elite Pain And Spine, is a healthcare organization registered as a pain medicine in Paducah, Kentucky and active in the NPI registry since October 2019. The organization lists John T Ruxer, President, as its authorized official.

NPPES Registry Identity

NPI1295377497
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameSOUTHERN PAIN AND REHABILITATION INC
Location Address5925 OLD HWY 60, STE DPaducah, KY 42001
Mailing Address5925 Old Hwy 60 West, Suite DPaducah, KY 42001-9647 · (270) 228-0118
Organization SubpartNo
Authorized OfficialJohn T RuxerPresident · (812) 639-9453
Enumeration DateOctober 9, 2019
Last NPPES UpdateSeptember 17, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1295377497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
5925 OLD HWY 60, Paducah, KY 42001

Other Names 1

Doing Business AsElite Pain And Spine

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Pain And Rehabilitation Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20201014003074DME · Physician - Interventional Pain ManagementDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Southern Pain And Rehabilitation Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1467178418
5925 OLD HWY 60
Paducah, KY 42001
(270) 228-0118
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629342308
5925 OLD HWY 60 WEST SUITE D
Paducah, KY 42001
(270) 228-0118
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1205078987
5925 OLD HWY 60 WEST SUITE D
Paducah, KY 42001
(270) 228-0118
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922529080
5925 OLD HWY 60 WEST SUITE D
Paducah, KY 42001
(270) 228-0118
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841643202
5925 OLD HWY 60 WEST SUITE D
Paducah, KY 42001
(270) 228-0118
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1295732055
2330 LYNCH RD SUITE 100
Evansville, IN 47711
(812) 867-9800
✔ PECOS✔ Accepts Medicare92 mi
Anesthesiology
NPI 1811429756
310 S LIMESTONE STE A102
Lexington, KY 40508
(859) 323-7246
✔ PECOS✔ Accepts Medicare242 mi

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

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 Southern Pain And Rehabilitation Inc's NPI number?

The NPI number for Southern Pain And Rehabilitation Inc is 1295377497. It was assigned to this organization in the NPPES registry on October 9, 2019. The provider is doing business as Elite Pain and Spine.

Where is Southern Pain And Rehabilitation Inc located?

Southern Pain And Rehabilitation Inc is located at 5925 Old Hwy 60 Ste D, Paducah, KY 42001. The listed phone number is (270) 228-0118.

What is Southern Pain And Rehabilitation Inc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Southern Pain And Rehabilitation Inc enrolled in Medicare?

Yes. Southern Pain And Rehabilitation Inc is registered in the Medicare PECOS enrollment system.

When is Southern Pain And Rehabilitation Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Kentucky, Physician - Interventional Pain Management) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Southern Pain And Rehabilitation Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Southern Pain And Rehabilitation 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 (4), Anesthesiology (1) and Pain Management (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Pain And Rehabilitation Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Southern Pain And Rehabilitation 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 Southern Pain And Rehabilitation Inc was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.