INTERVENTIONAL PAIN CENTER, PLLC
NPI 1790220408
Anesthesiology - Pain Medicine in Lumberton, NC

Active since January 04, 2017CLIA 34D2085408 · Waiver
4320 FAYETTEVILLE RD, SUITE A, LUMBERTON, NC 28358(910) 738-9599(910) 738-9549 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 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 1790220408) is a healthcare organization registered as a pain medicine in Lumberton, North Carolina and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists Shaneka Tinch, Rcm Manager, as its authorized official.

NPPES Registry Identity

NPI1790220408
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameINTERVENTIONAL PAIN CENTER, PLLC
Location Address4320 FAYETTEVILLE RD, SUITE ALumberton, NC 28358-2706
Mailing AddressPo Box 931038Atlanta, GA 31193-1038
Fax(910) 738-9549
Organization SubpartNo
Authorized OfficialShaneka TinchRcm Manager · (469) 458-9222
Enumeration DateJanuary 4, 2017
Last NPPES UpdateDecember 8, 20254 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1790220408 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.

4320 FAYETTEVILLE RD, Lumberton, NC 28358

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

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 34D2085408

Interventional Pain Center PLLC · Lumberton, NC
Active · expires Oct 13, 2026
CLIA Number34D2085408
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorDouglas Wisor
Laboratory Phone(910) 738-9599
Laboratory LocationInterventional Pain Center PLLC4320 Fayetteville Road, Suite A, Lumberton, NC 28358
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 6

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

Prosthetic/Orthotic Supplier
4320 FAYETTEVILLE RD
LUMBERTON, NC 28358
Community/Behavioral Health
4320 FAYETTEVILLE RD
LUMBERTON, NC 28358
Prosthetic/Orthotic Supplier
4320 FAYETTEVILLE RD
LUMBERTON, NC 28358
Internal Medicine
4320 FAYETTEVILLE RD, SUITE A
LUMBERTON, NC 28358
Community/Behavioral Health
4320 FAYETTEVILLE RD
LUMBERTON, NC 28358
Internal Medicine
4320 FAYETTEVILLE RD, SUITE A
LUMBERTON, NC 28358

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 1790220408. It was assigned to this organization in the NPPES registry on January 4, 2017.

Where is Interventional Pain Center, PLLC located?

Interventional Pain Center, PLLC is located at 4320 Fayetteville Rd Suite A, Lumberton, NC 28358. The listed phone number is (910) 738-9599.

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.

Does Interventional Pain Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2085408) is associated with this NPI, valid through October 13, 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 Interventional Pain Center, PLLC was last updated on December 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.