MEMPHIS PAIN MANAGEMENT GROUP, PC
NPI 1437449170
Family Medicine - Sports Medicine in Memphis, TN

NPI Status: Active since April 14, 2011

Contact Information

6100 PRIMACY PKWY
SUITE 112
MEMPHIS, TN
ZIP 38119
Phone: (901) 682-5335

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  • Organization
  • Family Medicine
  • Sports Medicine

About MEMPHIS PAIN MANAGEMENT GROUP, PC

This page provides the complete NPI Profile along with additional information for Memphis Pain Management Group, Pc, a primary care provider established in Memphis, Tennessee operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1437449170 assigned on April 2011. The practitioner's primary taxonomy code is 207QS0010X with license number MD430532 (TN). The provider is registered as an organization and their NPI record was last updated 12 years ago. Memphis Pain Management Group, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Russell D Radican (President)

NPI
1437449170
Provider Name
MEMPHIS PAIN MANAGEMENT GROUP, PC
Entity Type
Organization
Location Address
6100 PRIMACY PKWY SUITE 112 MEMPHIS, TN 38119
Location Phone
(901) 682-5335
Mailing Address
6100 PRIMACY PKWY SUITE 112 MEMPHIS, TN 38119
Mailing Phone
(901) 682-5335
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2011
Last Update Date
05-31-2013
Code Navigator

A primary care provider (PCP) like Memphis Pain Management Group, Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
License No.
MD430532
License State
TN
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1111N00000XChiropractic Providers

Chiropractor

DC1171 (TN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RUSSELL D RADICAN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(901) 682-5335

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
U54784MEDICARE UPIN (02)TN 

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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.
1437449170
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24678418114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 8 + 4 + 1 + 8 + 1 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1437449170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699774539 DEMETRIA LEONARD DAVIS PA-C
Individual
Physician Assistant6100 PRIMACY PKWY SUITE 112
MEMPHIS, TN 38119
(901) 682-5335
1528172368DR. RUSSELL D. RADICAN DC
Individual
Chiropractor (Sports Physician)6100 PRIMACY PKWY SUITE 105
MEMPHIS, TN 38119
(901) 682-5335
1821389784 ERIN B MEREDITH NP
Individual
Nurse Practitioner (Family)6100 PRIMACY PKWY SUITE 105
MEMPHIS, TN 38119
(901) 682-5335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437449170, enumerated in the NPI registry as an "organization" on April 14, 2011

The provider is located at 6100 Primacy Pkwy Suite 112 Memphis, Tn 38119 and the phone number is (901) 682-5335

This medical organization specializes in Family Medicine with taxonomy code 207QS0010X with a focus in Sports Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 14, 2011. 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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