SPECIALIST IN PAIN MANAGEMENT PC
NPI 1134872922
Prosthetic/Orthotic Supplier in Cleveland, TN
NPI Status: Active since February 01, 2022
Contact Information
862 CALLEN LANE NW
SUITE 110
CLEVELAND, TN
ZIP 37312
Phone: (423) 331-5025
Fax: (423) 698-0511
- Organization
- Prosthetic/Orthotic Supplier
- CLIA Number: 44D2224126
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-06-2026
About SPECIALIST IN PAIN MANAGEMENT PC
This page provides the complete NPI Profile along with additional information for Specialist In Pain Management Pc, a provider established in Cleveland, Tennessee operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1134872922 assigned on February 2022. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Jesse Hayes (Administrative Assistant)
- NPI
- 1134872922
- Provider Name
- SPECIALIST IN PAIN MANAGEMENT PC
- Entity Type
- Organization
- Location Address
- 862 CALLEN LANE NW SUITE 110 CLEVELAND, TN 37312
- Location Phone
- (423) 331-5025
- Location Fax
- (423) 698-0511
- Mailing Address
- 281 N LYERLY ST STE 200 CHATTANOOGA, TN 37404
- Mailing Phone
- (423) 541-1028
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-01-2022
- Last Update Date
- 08-26-2022
- 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
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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
- 44D2224126
- Facility Type
- Physician Office
- Certificate Effective Date
- February 07, 2024
- Certificate Expiration Date
- February 06, 2026
- Laboratory Director
- JOHN E. BLAKE III
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Specialist In Pain Management Pc 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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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 8 | 7 | 2 | 9 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 16 | 7 | 4 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 6 + 7 + 4 + 9 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1134872922 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134872922, enumerated in the NPI registry as an "organization" on February 01, 2022
The provider is located at 862 Callen Lane Nw Suite 110 Cleveland, Tn 37312 and the phone number is (423) 331-5025
This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X
The provider's CLIA number is 44D2224126 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on February 01, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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