SOUTHEAST SPINE & PAIN ASSOCIATES LLC
NPI 1649523689
Clinic/Center - Pain in Knoxville, TN

Q: What is Southeast Spine & Pain Associates LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Active since October 15, 2012

1718 SAINT MARY ST, KNOXVILLE, TN 37917(865) 633-9469(865) 633-9474 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southeast Spine & Pain Associates Llc NPPES

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

SOUTHEAST SPINE & PAIN ASSOCIATES LLC (NPI 1649523689) is a healthcare organization registered as a pain in Knoxville, Tennessee and active in the NPI registry since October 2012. The organization lists Christie Lord, Credentialing/billing Manager, as its authorized official.

NPPES Registry Identity

NPI1649523689

Entity TypeOrganization

Primary Taxonomy261QP3300X

Legal Business NameSOUTHEAST SPINE & PAIN ASSOCIATES LLC

Location Address1718 SAINT MARY STKnoxville, TN 37917-4517

Mailing AddressPo Box 27629Knoxville, TN 37927-7629 · (865) 633-9469 · Fax (865) 633-9474

Phone(865) 633-9469

Fax(865) 633-9474

Organization SubpartNo

Authorized OfficialChristie LordCredentialing/billing Manager · (865) 633-9469

Enumeration DateOctober 15, 2012

Last NPPES UpdateMarch 12, 2015

✔ NPI 1649523689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities

Taxonomy Code261QP3300X

1718 SAINT MARY ST, Knoxville, TN 37917

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Other Identifiers 2

Medicare PIN103G707028

Medicaid1531106TN

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH DICHIARA DO

Anesthesiology (Pain Medicine)