GML PAIN MD PSC
NPI 1396120820
Durable Medical Equipment & Medical Supplies in Louisville, KY
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 holds an CLIA Accreditation certificate valid through August 12, 2028 and lists Jeffernika Jackson, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted 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)
Gml Pain Md Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Gml Pain MD Psc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 18D2112989
Gml Pain MD Psc Operating As Specialist In Pain Care · Louisville, KYFrequently 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.
Is Gml Pain MD Psc enrolled in Medicare?
Yes. Gml Pain MD Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gml Pain MD Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Gml Pain MD Psc, in Anesthesiology, Nurse Practitioner and Pain Management. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gml Pain MD Psc hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 18D2112989) is associated with this NPI, valid through August 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Gml Pain MD Psc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Sanford Health Plan 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 12 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.
# Gml Pain Md Psc · NPI 1396120820
Durable Medical Equipment & Medical Supplies organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since July 27, 2015.
## Identity
- **NPI:** 1396120820 (Entity type: Organization)
- **Enumerated:** July 27, 2015
- **Primary specialty:** Durable Medical Equipment & Medical Supplies · taxonomy 332B00000X
- **Organization subpart:** No
- **Authorized official:** Jeffernika Jackson, PRACTICE MANAGER
## Practice location
- **Address:** 11300 MAPLE BROOK DR, Louisville, KY 40241-2080
- **Phone:** (502) 253-0505 · **Fax:** (502) 253-0303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Anesthesiology (1), Pain Management (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396120820) · Data from the CMS NPPES public registry.