SOUTHEASTERN PAIN PLLC
NPI 1992217723
Anesthesiology - Pain Medicine in Wartburg, TN

Active since November 02, 2017
1236 KNOXVILLE HWY, WARTBURG, TN 37887(770) 548-2182 Get Directions Write a Review

NPPES record last updated: June 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 19, 2018, Apr 11, 2018, Nov 2, 2017 (3 updates tracked since 2017).

About Southeastern Pain Pllc NPPES

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

SOUTHEASTERN PAIN PLLC (NPI 1992217723) is a healthcare organization registered as a pain medicine in Wartburg, Tennessee and active in the NPI registry since November 2017. The organization lists Gary Chase Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1992217723
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSOUTHEASTERN PAIN PLLC
Location Address1236 KNOXVILLE HWYWartburg, TN 37887
Mailing Address3671 Burning Bush RdRinggold, GA 30736-5725 · (770) 548-2182
Organization SubpartNo
Authorized OfficialGary Chase BlackOwner · (770) 548-2182
Enumeration DateNovember 2, 2017
Last NPPES UpdateJune 1, 20183 updates tracked since enumeration
NPI 1992217723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
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.

1236 KNOXVILLE HWY, Wartburg, TN 37887

Other Identifiers 3

OtherDY2044TN · Rrmedicare Ptan
Other0099TN · Medicare Ptan
MedicaidQ035114TN

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

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
1236 KNOXVILLE HWY
WARTBURG, TN 37887
Clinic/Center (Ambulatory Surgical)
1236 KNOXVILLE HWY
WARTBURG, TN 37887
Nurse Anesthetist, Certified Registered
1236 KNOXVILLE HWY
WARTBURG, TN 37887
Nurse Practitioner
1236 KNOXVILLE HWY
WARTBURG, TN 37887
Pharmacist
1236 KNOXVILLE HWY
WARTBURG, TN 37887
Nurse Practitioner (Family)
1236 KNOXVILLE HWY
WARTBURG, TN 37887
Clinic/Center
1236 KNOXVILLE HWY
WARTBURG, TN 37887
Clinic/Center (Ambulatory Surgical)
1236 KNOXVILLE HWY
WARTBURG, TN 37887

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 PLLC's NPI number?

The NPI number for Southeastern Pain PLLC is 1992217723. It was assigned to this organization in the NPPES registry on November 2, 2017.

Where is Southeastern Pain PLLC located?

Southeastern Pain PLLC is located at 1236 Knoxville Hwy, Wartburg, TN 37887. The listed phone number is (770) 548-2182.

What is Southeastern Pain PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Southeastern Pain PLLC was last updated on June 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.