INTERVENTIONAL PAIN CENTER PLLC – NPI #1558428789
Anesthesiology

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.

INTERVENTIONAL PAIN CENTER PLLC is an anesthesiologist located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1558428789 to INTERVENTIONAL PAIN CENTER PLLC on January 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was last updated on Dec 08, 2025. 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 INTERVENTIONAL PAIN CENTER PLLC below.

NPI Profile for
INTERVENTIONAL PAIN CENTER PLLC

NPI Number
1558428789
Enumeration Date

(more than 19 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
INTERVENTIONAL PAIN CENTER PLLC
Primary location
2153 VALLEYGATE DR
SUITE 102
FAYETTEVILLE, NC 28304-3681
Phone: (910) 321-7246 Fax: (910) 321-7245
Mailing address
PO BOX 931038
ATLANTA, GA 31193-1038
Phone: Fax:
Organization Subpart
No
Authorized Official
SHANEKA TINCH
RCM MANAGER
Phone: (469) 458-9222
Updated
Certification Date
Dec 08, 2025

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.

Identifiers

Identifiers for INTERVENTIONAL PAIN CENTER PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNC89014Y4
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
207LP2900X
- Anesthesiology / Pain Medicine (Primary)
NC 200100673

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.