Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CENTER FOR PAIN MANAGEMENT PLLC
NPI 1528063542
Pain Medicine - Interventional Pain Medicine in Wilmington, NC

Active since June 16, 2005CLIA 34D1091465 · Waiver
1602 PHYSICIANS DR STE 103, WILMINGTON, NC 28401(910) 442-1200(910) 442-1296 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Center For Pain Management Pllc NPPES

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

CENTER FOR PAIN MANAGEMENT PLLC (NPI 1528063542) is a healthcare organization registered as an interventional pain medicine in Wilmington, North Carolina and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Kathleen Pezzi, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1528063542
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCENTER FOR PAIN MANAGEMENT PLLC
Location Address1602 PHYSICIANS DR STE 103Wilmington, NC 28401-7350
Mailing Address1602 Physicians Dr Ste 103Wilmington, NC 28401-7350 · (910) 442-1200 · Fax (910) 442-1296
Fax(910) 442-1296
Organization SubpartNo
Authorized OfficialKathleen PezziOffice Manager · (910) 442-1200
Enumeration DateJune 16, 2005
Last NPPES UpdateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1528063542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in NC · 1234
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
1602 PHYSICIANS DR STE 103, Wilmington, NC 28401

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Pain Management Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20150814014285DME · Physician - Unknown Physician SpecialtyDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Center For Pain Management PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Interventional Pain Management
NPI 1558366385
1602 PHYSICIANS DR SUITE 103
Wilmington, NC 28401
(910) 442-1200
✔ PECOS✔ Accepts MedicareSame address
Interventional Pain Management
NPI 1265437008
1602 PHYSICIANS DR STE 103
Wilmington, NC 28401
(910) 442-1200
✔ PECOS✔ Accepts MedicareSame address

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 34D1091465

Center For Pain Management · Wilmington, NC
Active · expires Nov 2, 2026
CLIA Number34D1091465
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorJohn Knab MD
Laboratory Phone(910) 442-1200
Laboratory LocationCenter For Pain Management1602 Physicians Dr Ste 103, Wilmington, NC 28401
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 Center For Pain Management PLLC's NPI number?

The NPI number for Center For Pain Management PLLC is 1528063542. It was assigned to this organization in the NPPES registry on June 16, 2005.

Where is Center For Pain Management PLLC located?

Center For Pain Management PLLC is located at 1602 Physicians Dr Ste 103, Wilmington, NC 28401. The listed phone number is (910) 442-1200.

What is Center For Pain Management PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Center For Pain Management PLLC enrolled in Medicare?

Yes. Center For Pain Management PLLC is registered in the Medicare PECOS enrollment system.

When is Center For Pain Management PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (North Carolina, Physician - Unknown Physician Specialty) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Center For Pain Management PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Interventional Pain Management, reassign their Medicare billing to Center For Pain Management PLLC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Center For Pain Management PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1091465) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Center For Pain Management PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Center For Pain Management PLLC 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 Center For Pain Management PLLC was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.