INTERVENTIONAL PAIN CENTER PLLC
NPI 1558428789
Anesthesiology - Pain Medicine in Fayetteville, NC

Active since January 03, 2007
2153 VALLEYGATE DR, SUITE 102, FAYETTEVILLE, NC 28304(910) 321-7246(910) 321-7245 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2025, Jul 11, 2025, Jun 2, 2025 and 1 more (4 updates tracked since 2017).

About Interventional Pain Center Pllc NPPES

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

INTERVENTIONAL PAIN CENTER PLLC (NPI 1558428789), doing business as Fayetteville Pain Center, Pllc, is a healthcare organization registered as a pain medicine in Fayetteville, North Carolina and active in the NPI registry since January 2007. The organization lists Shaneka Tinch, Rcm Manager, as its authorized official.

NPPES Registry Identity

NPI1558428789
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameINTERVENTIONAL PAIN CENTER PLLC
Location Address2153 VALLEYGATE DR, SUITE 102Fayetteville, NC 28304-3681
Mailing AddressPo Box 931038Atlanta, GA 31193-1038
Fax(910) 321-7245
Organization SubpartNo
Authorized OfficialShaneka TinchRcm Manager · (469) 458-9222
Enumeration DateJanuary 3, 2007
Last NPPES UpdateDecember 8, 20254 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1558428789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in NC · 200100673
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
2153 VALLEYGATE DR, Fayetteville, NC 28304

Other Names 1

Former Legal Business NameFayetteville Pain Center, Pllc

Other Identifiers 1

Medicaid89014Y4NC

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Interventional Pain Center PLLC, 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 by Medicare Specialty 3

Nurse Practitioner7
Pain Management3
Interventional Pain Management2

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1023597697
2153 VALLEYGATE DR STE 102
Fayetteville, NC 28304
(910) 321-7246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619629813
2313 MURCHISON RD
Fayetteville, NC 28301
(910) 488-4525
✔ PECOS✔ Accepts Medicare3.2 mi
Interventional Pain Management
NPI 1437594363
1000 CRESCENT GRN STE 102
Cary, NC 27518
(919) 897-5999
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1932683091
3643 N ROXBORO ST FL 6
Durham, NC 27704
(919) 470-9159
✔ PECOS✔ Accepts Medicare69 mi
Nurse Practitioner
NPI 1518631415
1621 HIGHWAY 17 N
North Myrtle Beach, SC 29582
(843) 353-3460
✔ PECOS✔ Accepts Medicare83 mi
Pain Management
NPI 1275573651
2080 W ARLINGTON BLVD STE A
Greenville, NC 27834
(252) 689-6161
✔ PECOS✔ Accepts Medicare93 mi
Nurse Practitioner
NPI 1336579796
2080 W ARLINGTON BLVD STE A
Greenville, NC 27834
(252) 689-6161
✔ PECOS✔ Accepts Medicare93 mi
Nurse Practitioner
NPI 1588252290
2080 W ARLINGTON BLVD STE A
Greenville, NC 27834
(252) 681-8989
✔ PECOS93 mi
Interventional Pain Management
NPI 1508201393
960 HOLCOMB BRIDGE RD STE 150
Roswell, GA 30076
(770) 988-7246
✔ PECOS✔ Accepts Medicare317 mi
Pain Management
NPI 1952308827
1150 PROFESSIONAL CT STE P
Hagerstown, MD 21740
(301) 665-9696
✔ PECOS✔ Accepts Medicare324 mi
Nurse Practitioner
NPI 1366151029
3295 ROUTE 100 # PA
Macungie, PA 18062
(610) 967-5684
✔ PECOS✔ Accepts Medicare420 mi
Pain Management
NPI 1639115959
593 EDDY ST APC 6TH FLR
Providence, RI 02903
(401) 793-9166
✔ PECOS✔ Accepts Medicare619 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Interventional Pain Center PLLC's NPI number?

The NPI number for Interventional Pain Center PLLC is 1558428789. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider was formerly known as Fayetteville Pain Center, PLLC.

Where is Interventional Pain Center PLLC located?

Interventional Pain Center PLLC is located at 2153 Valleygate Dr Suite 102, Fayetteville, NC 28304. The listed phone number is (910) 321-7246.

What is Interventional Pain Center PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Interventional Pain Center PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Interventional Pain Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Interventional Pain Center 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. The largest specialties are Nurse Practitioner (7), Pain Management (3) and Interventional Pain Management (2). 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.

What insurance does Interventional Pain Center PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Interventional Pain Center 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 Interventional Pain Center PLLC was last updated on December 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.