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PAIN MANAGEMENT CENTERS OF AMERICA, PSC
NPI 1891267688
Pain Medicine - Interventional Pain Medicine in Marion, IL

Active since December 18, 2018CLIA 14D1030530 · Waiver
108 AIRWAY DR, MARION, IL 62959(618) 997-7820(270) 554-8987 Get Directions Write a Review

NPPES record last updated: April 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 30, 2022, Nov 4, 2021, Apr 8, 2020 and 1 more (4 updates tracked since 2018).

About Pain Management Centers Of America, Psc NPPES

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

PAIN MANAGEMENT CENTERS OF AMERICA, PSC (NPI 1891267688) is a healthcare organization registered as an interventional pain medicine in Marion, Illinois and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Mahendra R. Sanapati, President, as its authorized official.

NPPES Registry Identity

NPI1891267688
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePAIN MANAGEMENT CENTERS OF AMERICA, PSC
Location Address108 AIRWAY DRMarion, IL 62959-5841
Mailing Address1101 Professional Blvd Ste 100Evansville, IN 47714-8018 · (812) 477-7246 · Fax (812) 477-7240
Phone(618) 997-7820
Fax(270) 554-8987
Organization SubpartNo
Authorized OfficialMahendra R. SanapatiPresident · (812) 477-7246
Enumeration DateDecember 18, 2018
Last NPPES UpdateApril 30, 20224 updates tracked since enumeration
NPPES CertifiedApril 30, 2022
✔ NPI 1891267688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
108 AIRWAY DR, Marion, IL 62959
Open in Google Maps ↗

Other Identifiers 1

Medicaid4082761171IL

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

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 14D1030530

Pain Management Centers Of America · Marion, IL
Active · expires Sep 7, 2026
CLIA Number14D1030530
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorLaxmaiah Manchikanti, M D
Laboratory Phone(618) 997-7820
Laboratory LocationPain Management Centers Of America108 Airway Drive, Marion, IL 62959
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 2

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

PAIN CARE SURGERY, PC
Clinic/Center (Ambulatory Surgical)
108 AIRWAY DR
MARION, IL 62959
Williamson County (618) 997-7820
MISS KATHY AMANDA LONG ARNP-BC
Nurse Practitioner
108 AIRWAY DR
MARION, IL 62959
Williamson County (618) 997-7820

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 Management Centers Of America, Psc's NPI number?

The NPI number for Pain Management Centers Of America, Psc is 1891267688. It was assigned to this organization in the NPPES registry on December 18, 2018.

Where is Pain Management Centers Of America, Psc located?

Pain Management Centers Of America, Psc is located at 108 Airway Dr, Marion, IL 62959. The listed phone number is (618) 997-7820.

What is Pain Management Centers Of America, Psc's specialty?

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

Does Pain Management Centers Of America, Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1030530) is associated with this NPI, valid through September 7, 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 Management Centers Of America, Psc was last updated on April 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.