EDGEWATER PAIN AND WELLNESS LLC
NPI 1891591244
Pain Medicine - Interventional Pain Medicine in Dothan, AL
- Organization
- Pain Medicine
- Interventional Pain Medicine
- CLIA Number: 01D2319589
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-03-2027
About EDGEWATER PAIN AND WELLNESS LLC
This page provides the complete NPI Profile along with additional information for Edgewater Pain And Wellness Llc, a provider established in Dothan, Alabama operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1891591244 assigned on February 2025. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Sammie O'neal Searcy Jr. (Ceo)
- NPI
- 1891591244 Verify this NPI
- Provider Name
- EDGEWATER PAIN AND WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 200 GROVE PARK LN STE 640 DOTHAN, AL 36305
- Location Phone
- (334) 333-3471
- Mailing Address
- 200 GROVE PARK LN STE 640 DOTHAN, AL 36305
- Mailing Phone
- (334) 699-1022
- Mailing Fax
- (334) 699-4089
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-24-2025
- Last Update Date
- 12-04-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D2319589
- Facility Type
- Physician Office
- Certificate Effective Date
- March 04, 2025
- Certificate Expiration Date
- March 03, 2027
- Laboratory Director
- DR. SAM O. SEARCY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Edgewater Pain And Wellness Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891591244, enumerated as an "organization" on February 24, 2025.
The provider is located at 200 GROVE PARK LN STE 640 DOTHAN, AL 36305 and the phone number is (334) 333-3471.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
