ADVANCED PAIN MANAGEMENT CLINIC, LLC
NPI 1316179245
Anesthesiology - Pain Medicine in Jacksonville, FL

Q: What is Advanced Pain Management Clinic, LLC's NPI number?

The NPI number for Advanced Pain Management Clinic, LLC is 1316179245. It was assigned to this organization in the NPPES registry on August 11, 2009.

Q: What is Advanced Pain Management Clinic, LLC's specialty?

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

Active since August 11, 2009

5757 BOOTH ROAD, BLDG 100, JACKSONVILLE, FL 32207(904) 683-2596(904) 683-2597 Get Directions Write a Review

NPPES record last updated: July 26, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Advanced Pain Management Clinic, Llc NPPES

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

ADVANCED PAIN MANAGEMENT CLINIC, LLC (NPI 1316179245) is a healthcare organization registered as a pain medicine in Jacksonville, Florida and active in the NPI registry since August 2009. The organization lists Michael S Willens, President, as its authorized official.

NPPES Registry Identity

NPI1316179245

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameADVANCED PAIN MANAGEMENT CLINIC, LLC

Location Address5757 BOOTH ROAD, BLDG 100Jacksonville, FL 32207

Mailing Address5757 Booth Road, Bldg 100Jacksonville, FL 32207 · (904) 683-2596 · Fax (904) 683-2597

Phone(904) 683-2596

Fax(904) 683-2597

Organization SubpartNo

Authorized OfficialMichael S WillensPresident · (904) 635-5555

Enumeration DateAugust 11, 2009

Last NPPES UpdateJuly 26, 2010

✔ NPI 1316179245 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 FL · OS8432

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.

5757 BOOTH ROAD, Jacksonville, FL 32207

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Other Identifiers 1

Medicare UPINH46915FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Pain Management Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Pain Management Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Willens, D.O.

Interventional Pain Management

NPI 1932159381

3003 CLAIRE LN 100
Jacksonville, FL 32223

(904) 683-2596

✔ PECOS✔ Accepts Medicare7.9 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 Advanced Pain Management Clinic, LLC's NPI number?

The NPI number for Advanced Pain Management Clinic, LLC is 1316179245. It was assigned to this organization in the NPPES registry on August 11, 2009.

Where is Advanced Pain Management Clinic, LLC located?

Advanced Pain Management Clinic, LLC is located at 5757 Booth Road Bldg 100, Jacksonville, FL 32207. The listed phone number is (904) 683-2596.

What is Advanced Pain Management Clinic, LLC's specialty?

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

Is Advanced Pain Management Clinic, LLC enrolled in Medicare?

Yes. Advanced Pain Management Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Pain Management Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Advanced Pain Management Clinic, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Pain Management Clinic, LLC was last updated on July 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.