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GML PAIN MD PSC
NPI 1396120820
Durable Medical Equipment & Medical Supplies in Louisville, KY

Active since July 27, 2015
11300 MAPLE BROOK DR, LOUISVILLE, KY 40241(502) 253-0505(502) 253-0303 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2025, Sep 21, 2020 (2 updates tracked since 2020).

About Gml Pain Md Psc NPPES

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

GML PAIN MD PSC (NPI 1396120820) is a healthcare organization registered as a durable medical equipment & medical supplies in Louisville, Kentucky and active in the NPI registry since July 2015. The organization lists Jeffernika Jackson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1396120820
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGML PAIN MD PSC
Location Address11300 MAPLE BROOK DRLouisville, KY 40241-2080
Mailing Address11300 Maple Brook DrLouisville, KY 40241-2080 · (502) 253-0505 · Fax (502) 253-0303
Phone(502) 253-0505
Fax(502) 253-0303
Organization SubpartNo
Authorized OfficialJeffernika JacksonPractice Manager · (502) 253-0505
Enumeration DateJuly 27, 2015
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1396120820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
11300 MAPLE BROOK DR, Louisville, KY 40241
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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 18D2112989

Gml Pain MD Psc Operating As Specialist In Pain Care · Louisville, KY
Expired · Aug 12, 2026
CLIA Number18D2112989
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorDr. Jiyeon Lee
Laboratory Phone(502) 253-0505
Laboratory LocationGml Pain MD Psc Operating As Specialist In Pain Care11300 Maple Brook Drive, Louisville, KY 40241
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.

Other Providers at the Same Location NPPES

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

NATHAN LAMBORN MD
Pain Medicine (Interventional Pain Medicine)
11300 MAPLE BROOK DR
LOUISVILLE, KY 40241
Jefferson County (502) 253-0505

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 Gml Pain MD Psc's NPI number?

The NPI number for Gml Pain MD Psc is 1396120820. It was assigned to this organization in the NPPES registry on July 27, 2015.

Where is Gml Pain MD Psc located?

Gml Pain MD Psc is located at 11300 Maple Brook Dr, Louisville, KY 40241. The listed phone number is (502) 253-0505.

What is Gml Pain MD Psc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Gml Pain MD Psc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Kansas City and 1 other insurer list Gml Pain MD Psc 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 Gml Pain MD Psc was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.