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SOUTHEASTERN PAIN MANAGEMENT LLC
NPI 1902974561
Specialist in Gadsden, AL

Active since December 01, 2006
1026 GOODYEAR AVE, BLDG 400 STE 302, GADSDEN, AL 35903(256) 492-7246(256) 492-1168 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Southeastern Pain Management Llc NPPES

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

SOUTHEASTERN PAIN MANAGEMENT LLC (NPI 1902974561), doing business as Coastal States Management, is a healthcare organization registered as a specialist in Gadsden, Alabama and active in the NPI registry since December 2006. The organization lists Mary Jacobs-muratta, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1902974561
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHEASTERN PAIN MANAGEMENT LLC
Location Address1026 GOODYEAR AVE, BLDG 400 STE 302Gadsden, AL 35903-1102
Mailing Address1026 Goodyear Ave, Bldg 400 Ste 302Gadsden, AL 35903-1102 · (256) 492-7246 · Fax (256) 492-1168
Phone(256) 492-7246
Fax(256) 492-1168
Organization SubpartNo
Authorized OfficialMary Jacobs-murattaChief Operating Officer · (256) 492-7246
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 14, 2008
✔ NPI 1902974561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1026 GOODYEAR AVE, Gadsden, AL 35903
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Other Names 1

Former Legal Business NameCoastal States Management

Other Identifiers 6

Other51521436AL · Blue Cross Blue Shield
Medicare ID-Type Unspecified051521436SAIAL
OtherD97686AL · Humana Gold
OtherP00145166AL · Railroad Medicare
Medicare UPIND97686AL
OtherD97686AL · Healthsprings Of Alabama

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

Other Providers at the Same Location NPPES 20

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

ROBERT E OSTENDORF III M.D.
Otolaryngology
1026 GOODYEAR AVE, SUITE 100B
GADSDEN, AL 35903
Etowah County (256) 438-5821
GADSDEN LUNG CENTER, P.C. INC
Internal Medicine (Pulmonary Disease)
1026 GOODYEAR AVE, SUITE 302
GADSDEN, AL 35903
Etowah County (256) 543-3877
ALLIED ANESTHESIA ASSOCIATES, INC
Anesthesiology (Pain Medicine)
1026 GOODYEAR AVE, BUILDING 400, SUITE 302
GADSDEN, AL 35903
Etowah County (256) 492-7246
DR. MAZEN HAKIM M.D.
Internal Medicine (Pulmonary Disease)
1026 GOODYEAR AVE, SUITE 302
GADSDEN, AL 35903
Etowah County (256) 543-3877
JYOTHIPRASANNA TUMMALA M.D.
Internal Medicine
1026 GOODYEAR AVE, STE 100
GADSDEN, AL 35903
Etowah County (256) 492-8250
PAIN SPECIALISTS OF GADSDEN, INC
Clinic/Center (Pain)
1026 GOODYEAR AVE, BLD 400 SUITE 301
GADSDEN, AL 35903
Etowah County (256) 492-7246
COASTAL STATES MANAGEMEN
Specialist
1026 GOODYEAR AVE, BLDG 400, STE 302
GADSDEN, AL 35903
Etowah County (256) 492-7246
COASTAL STATES MANAGEMENT
Specialist
1026 GOODYEAR AVE, BLDG 400, STE 302
GADSDEN, AL 35903
Etowah County (256) 492-7246

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 Southeastern Pain Management LLC's NPI number?

The NPI number for Southeastern Pain Management LLC is 1902974561. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider was formerly known as Coastal States Management.

Where is Southeastern Pain Management LLC located?

Southeastern Pain Management LLC is located at 1026 Goodyear Ave Bldg 400 Ste 302, Gadsden, AL 35903. The listed phone number is (256) 492-7246.

What is Southeastern Pain Management LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southeastern Pain Management LLC was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.