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INTERVENTIONAL PAIN SERVICE LLC
NPI 1689681793
Pain Medicine - Interventional Pain Medicine in Daytona Beach, FL

Active since August 02, 2006
201 N CLYDE MORRIS BLVD, SUITE 120, DAYTONA BEACH, FL 32114(386) 254-4029(386) 254-4274 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Interventional Pain Service Llc NPPES

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

INTERVENTIONAL PAIN SERVICE LLC (NPI 1689681793) is a healthcare organization registered as an interventional pain medicine in Daytona Beach, Florida and active in the NPI registry since August 2006. The organization lists William Ross Mayfield, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1689681793
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINTERVENTIONAL PAIN SERVICE LLC
Location Address201 N CLYDE MORRIS BLVD, SUITE 120Daytona Beach, FL 32114-2724
Mailing Address201 N Clyde Morris Blvd, Suite 120Daytona Beach, FL 32114-2724 · (386) 254-4029 · Fax (386) 254-4274
Phone(386) 254-4029
Fax(386) 254-4274
Organization SubpartNo
Authorized OfficialWilliam Ross MayfieldMember Manager · (386) 254-4029
Enumeration DateAugust 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689681793 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 FL · ME0063660
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.
201 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114
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Other Identifiers 1

Other18828FL · Blue Shield

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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
StateFloridaEnrollment IDO20070116000412Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Interventional Pain Service LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Mayfield, M.D.
Pain Management
NPI 1578627568
201 N CLYDE MORRIS BLVD SUITE 120
Daytona Beach, FL 32114
(386) 254-4029
✔ PECOS0.6 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 Service LLC's NPI number?

The NPI number for Interventional Pain Service LLC is 1689681793. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Interventional Pain Service LLC located?

Interventional Pain Service LLC is located at 201 N Clyde Morris Blvd Suite 120, Daytona Beach, FL 32114. The listed phone number is (386) 254-4029.

What is Interventional Pain Service LLC's specialty?

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

Is Interventional Pain Service LLC enrolled in Medicare?

Yes. Interventional Pain Service LLC is registered in the Medicare PECOS enrollment system.

When is Interventional Pain Service LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. 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 Interventional Pain Service LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Interventional Pain Service 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Interventional Pain Service LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.