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

VITALITY PAIN MANAGEMENT LLC
NPI 1780463653
Pain Medicine - Interventional Pain Medicine in Lexington, KY

Active since September 28, 2023CLIA 18D2292171 · Certificate of Compliance
2700 OLD ROSEBUD RD STE 330, LEXINGTON, KY 40509(859) 523-1776(859) 788-7150 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2026, Jun 5, 2026, Mar 10, 2026 and 1 more (4 updates tracked since 2026).

About Vitality Pain Management Llc NPPES

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

VITALITY PAIN MANAGEMENT LLC (NPI 1780463653) is a healthcare organization registered as an interventional pain medicine in Lexington, Kentucky and active in the NPI registry since September 2023. The organization holds a CLIA Certificate of Compliance certificate valid through March 24, 2027 and lists David Bosomworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1780463653
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameVITALITY PAIN MANAGEMENT LLC
Location Address2700 OLD ROSEBUD RD STE 330Lexington, KY 40509-8630
Mailing Address2700 Old Rosebud Rd Ste 330Lexington, KY 40509-8630 · (859) 523-1776 · Fax (859) 788-7150
Phone(859) 523-1776
Fax(859) 788-7150
Organization SubpartNo
Authorized OfficialDavid BosomworthOwner · (859) 523-1776
Enumeration DateSeptember 28, 2023
Last NPPES UpdateSeptember 17, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1780463653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2700 OLD ROSEBUD RD STE 330, Lexington, KY 40509
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Other Identifiers 2

Medicaid7101149000KY
Medicaid7100951130KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Vitality Pain Management LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

David Bosomworth, MD
Pain Management
NPI 1164518080
2700 OLD ROSEBUD RD STE 330
Lexington, KY 40509
(859) 523-1776
✔ PECOS✔ Accepts MedicareSame address
Somer Mitchell, APRN
Nurse Practitioner
NPI 1902353980
2700 OLD ROSEBUD RD STE 330
Lexington, KY 40509
(859) 523-1776
✔ PECOS✔ Accepts MedicareSame address
Louie Williams, MD
Physical Medicine and Rehabilitation
NPI 1689780009
2700 OLD ROSEBUD RD STE 330
Lexington, KY 40509
(859) 523-1776
✔ PECOS✔ Accepts MedicareSame address
Nancy Marcum, APRN
Nurse Practitioner
NPI 1255151940
828 LANE ALLEN RD STE 219
Lexington, KY 40504
(443) 383-9300
✔ PECOS✔ Accepts Medicare6.6 mi

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 Compliance 18D2292171

Vitality Pain Management, LLC · Lexington, KY
Active · expires Mar 24, 2027
CLIA Number18D2292171
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorMr. Grant Bennett
Laboratory Phone(502) 290-7246
Laboratory LocationVitality Pain Management, LLC2700 Old Rosebud Road, Suite 330, Lexington, KY 40509
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Vitality Pain Management LLC's NPI number?

The NPI number for Vitality Pain Management LLC is 1780463653. It was assigned to this organization in the NPPES registry on September 28, 2023.

Where is Vitality Pain Management LLC located?

Vitality Pain Management LLC is located at 2700 Old Rosebud Rd Ste 330, Lexington, KY 40509. The listed phone number is (859) 523-1776.

What is Vitality Pain Management LLC's specialty?

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

Is Vitality Pain Management LLC enrolled in Medicare?

Yes. Vitality Pain Management LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Pain Management LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Vitality Pain Management LLC, in Nurse Practitioner, Pain Management and Physical Medicine and Rehabilitation. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vitality Pain Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D2292171) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitality Pain Management LLC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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.