1. Home
  2. Directory
  3. Florida
  4. Clearwater
  5. Clinic Center
  6. NPI Profile

PAIN CARE OF CLEARWATER
NPI 1790094829
Clinic/Center - Pain in Clearwater, FL

Active since October 07, 2010CLIA 10D2015201 · Waiver
51 S MAIN AVE, SUITE 318, CLEARWATER, FL 33765(727) 572-6261(727) 443-2501 Get Directions Write a Review

NPPES record last updated: February 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pain Care Of Clearwater NPPES

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

PAIN CARE OF CLEARWATER (NPI 1790094829) is a healthcare organization registered as a pain in Clearwater, Florida and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists C R Long, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1790094829
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePAIN CARE MANAGEMENT OF CLEARWATER, LLC
Location Address51 S MAIN AVE, SUITE 318Clearwater, FL 33765-3952
Mailing Address5036 Dr Phillips Blvd, Suite 337Orlando, FL 32819-3310 · (321) 251-4462 · Fax (888) 469-1872
Phone(727) 572-6261
Fax(727) 443-2501
Organization SubpartNo
Authorized OfficialC R LongManaging Member · (321) 251-4462
Enumeration DateOctober 7, 2010
Last NPPES UpdateFebruary 13, 2014
✔ NPI 1790094829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License✔ Licensed in FL · PMC1340
51 S MAIN AVE, Clearwater, FL 33765
Open in Google Maps ↗

Other Names 1

Doing Business AsPain Care Of Clearwater

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 10D2015201

Pain Care Management Of Clearwater LLC Pain Care Of Clearwater · Clearwater, FL
Active · expires Oct 24, 2026
CLIA Number10D2015201
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorAlexis P. Henderson
Laboratory Phone(727) 572-6261
Laboratory LocationPain Care Management Of Clearwater LLC Pain Care Of Clearwater51 S Main Ave Ste 318, Clearwater, FL 33765
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. MOHAMMAD HOSSEIN GHARAVI MD
Family Medicine
51 S MAIN AVE, SUITE 318
CLEARWATER, FL 33765
Pinellas County (727) 572-6261
MS. CATHERINE BEATRICE LEWIS LCSW
Counselor (Mental Health)
51 S MAIN AVE, 319
CLEARWATER, FL 33765
Pinellas County (727) 726-9408
MRS. JODI LYNN KNEER LCSW
Social Worker (Clinical)
51 S MAIN AVE, STE 304
CLEARWATER, FL 33765
Pinellas County (727) 784-8244
MRS. JEAN MARIE CALLAHAN WILLSIE LMHC
Counselor (Mental Health)
51 S MAIN AVE, SUITE 319
CLEARWATER, FL 33765
Pinellas County (727) 726-9408

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 Pain Care Management Of Clearwater, LLC's NPI number?

The NPI number for Pain Care Management Of Clearwater, LLC is 1790094829. It was assigned to this organization in the NPPES registry on October 7, 2010. The provider is doing business as Pain Care Of Clearwater.

Where is Pain Care Management Of Clearwater, LLC located?

Pain Care Management Of Clearwater, LLC is located at 51 S Main Ave Suite 318, Clearwater, FL 33765. The listed phone number is (727) 572-6261.

What is Pain Care Management Of Clearwater, LLC's specialty?

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

Does Pain Care Management Of Clearwater, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2015201) is associated with this NPI, valid through October 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pain Care Management Of Clearwater, LLC was last updated on February 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.