NOVUS SPINE & PAIN CENTER
NPI 1407300890
Physical Medicine & Rehabilitation - Pain Medicine in Lakeland, FL

Active since August 15, 2016CLIA 10D2126243 · Waiver
631 MID-FLORIDA DRIVE, LAKELAND, FL 33813(863) 583-4445(863) 225-5289 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2020, May 25, 2017, Feb 2, 2017 and 2 more (5 updates tracked since 2016).

About Novus Spine & Pain Center NPPES

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

NOVUS SPINE & PAIN CENTER (NPI 1407300890) is a healthcare organization registered as a pain medicine in Lakeland, Florida and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Benito Torres, Owner, as its authorized official.

NPPES Registry Identity

NPI1407300890
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameNOVUS SPINE, LLC
Location Address631 MID-FLORIDA DRIVELakeland, FL 33813-4902
Mailing Address631 Mid Florida DriveLakeland, FL 33813-4902 · (863) 583-4445 · Fax (863) 225-5289
Fax(863) 225-5289
Organization SubpartNo
Authorized OfficialBenito TorresOwner · (863) 583-4445
Enumeration DateAugust 15, 2016
Last NPPES UpdateNovember 13, 20205 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
✔ NPI 1407300890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in FL · OS10656
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 ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
631 MID-FLORIDA DRIVE, Lakeland, FL 33813

Other Names 1

Doing Business AsNovus Spine & Pain Center

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)

Novus Spine & Pain Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Novus Spine & Pain Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Interventional Pain Management
NPI 1396928123
631 MIDFLORIDA DR
Lakeland, FL 33813
(863) 583-4445
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184240228
858 ROCKINGHAM RD
Lakeland, FL 33809
(813) 770-2655
✔ PECOS9.2 mi
Nurse Practitioner
NPI 1356856272
111 N ORANGE AVE STE 800
Orlando, FL 32801
(888) 731-8994
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1427600030
PO BOX 211699
Eagan, MN 55121
(866) 849-0692
✔ PECOS✔ Accepts Medicare1,316 mi

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 Waiver 10D2126243

Novus Spine LLC · Lakeland, FL
Active · expires Feb 21, 2027
CLIA Number10D2126243
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorBenito Torres
Laboratory Phone(863) 583-4445
Laboratory LocationNovus Spine LLC631 Mid-Florida Dr, Lakeland, FL 33813
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Novus Spine, LLC's NPI number?

The NPI number for Novus Spine, LLC is 1407300890. It was assigned to this organization in the NPPES registry on August 15, 2016. The provider is doing business as Novus Spine & Pain Center.

Where is Novus Spine, LLC located?

Novus Spine, LLC is located at 631 Mid-Florida Drive, Lakeland, FL 33813. The listed phone number is (863) 583-4445.

What is Novus Spine, LLC's specialty?

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

Is Novus Spine, LLC enrolled in Medicare?

Yes. Novus Spine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novus Spine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Novus Spine, 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. The largest specialties are Nurse Practitioner (3) and Interventional Pain Management (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Novus Spine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2126243) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Novus Spine, LLC was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.