PHYSICIAN ASSOCIATE INTERDISCIPLINARY CLINIC (PAIN-C)
NPI 1407373210
Physician Assistant in Memphis, TN
NPI Status: Active since August 23, 2017
Contact Information
4131 KIRBY PKWY STE 1
KIRBY-RAINES MEDICAL CENTER
MEMPHIS, TN
ZIP 38115
Phone: (706) 536-3272
- Organization
- Physician Assistant
- CLIA Number: 44D2237014
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 09-21-2027
About PHYSICIAN ASSOCIATE INTERDISCIPLINARY CLINIC (PAIN-C)
This page provides the complete NPI Profile along with additional information for Physician Associate Interdisciplinary Clinic (pain-c), a primary care provider established in Memphis, Tennessee operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1407373210 assigned on August 2017. The practitioner's primary taxonomy code is 363A00000X with license number 1805 (TN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Maurice Skillern Dms, Pa-c (President / Ceo)
- NPI
- 1407373210
- Provider Name
- PHYSICIAN ASSOCIATE INTERDISCIPLINARY CLINIC (PAIN-C)
- Entity Type
- Organization
- Location Address
- 4131 KIRBY PKWY STE 1 KIRBY-RAINES MEDICAL CENTER MEMPHIS, TN 38115
- Location Phone
- (706) 536-3272
- Mailing Address
- 4131 KIRBY PKWY STE 1 MEMPHIS, TN 38115
- Mailing Phone
- (706) 536-3272
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-23-2017
- Last Update Date
- 11-10-2021
- Code Navigator
A primary care provider (PCP) like Physician Associate Interdisciplinary Clinic (pain-c) sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1805
- License State
- TN
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1407373210 | OTHER (01) | CLINIC NPI NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2237014
- Facility Type
- Community Clinic
- Certificate Effective Date
- September 22, 2025
- Certificate Expiration Date
- September 21, 2027
- Laboratory Director
- MAURICE SKILLERN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Physician Associate Interdisciplinary Clinic (pain-c) in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407373210, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
MEMPHIS, TN 38115
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407373210, enumerated as an "organization" on August 23, 2017.
The provider is located at 4131 KIRBY PKWY STE 1 KIRBY-RAINES MEDICAL CENTER MEMPHIS, TN 38115 and the phone number is (706) 536-3272.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
