PAIN CLINIC OF NORTH CAROLINA, PA – NPI #1538682216
Clinic/Center

PAIN CLINIC OF NORTH CAROLINA, PA is an AHC clinic located in HUNTERSVILLE, NC. NPPES has assigned the NPI number 1538682216 to PAIN CLINIC OF NORTH CAROLINA, PA on July 25, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP3300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Pain

The NPI profile was previously updated about 3 years ago on Nov 14, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAIN CLINIC OF NORTH CAROLINA, PA below.

NPI Profile for
PAIN CLINIC OF NORTH CAROLINA, PA

NPI Number
1538682216
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PAIN CLINIC OF NORTH CAROLINA, PA
Primary location
16511 NORTHCROSS DR
SUITE A
HUNTERSVILLE, NC 28078
Phone: (704) 896-3313 Fax: (704) 896-8193
3 Other location(s):
1112 Yancey St
Shelby, NC 28150-3672
Phone: (704) 481-0171
Fax: (704) 481-0178
825 S Washington St
Shelby, NC 28150-5968
Phone: (704) 481-0171
Fax: (704) 481-0178
1503 E Broad St
Statesville, NC 28625-4301
Phone: (704) 481-0171
Fax: (704) 481-0178
Mailing address
16511 NORTHCROSS DR STE A
HUNTERSVILLE, NC 28078-5021
Phone: (704) 896-3313 Fax: (704) 896-8193
Organization Subpart
No
Authorized Official
LEE GRAY
PHYSICIAN OWNER
Phone: (704) 896-3313
Updated
Certification Date
Nov 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP3300X
- Clinic/Center / Pain (Primary)
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.