SPECTRUM PAIN CLINICS INC. NPI 1083194237

NPI Information

  • NPI: 1083194237
  • Provider Name: SPECTRUM PAIN CLINICS INC.
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 44D2159400
  • Address: 23 SANDSTONE CIR
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 265-6946

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NPI Details

SPECTRUM PAIN CLINICS INC. is an interventional pain medicine pain medicine in Jackson, TN. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SPECTRUM PAIN CLINICS INC. NPI is 1083194237. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

23 SANDSTONE CIR
JACKSON, TN
ZIP 38305-073
Phone: (731) 265-6946
Fax: (731) 265-6947

The provider's authorized official is Joy J Johnson .
The authorized official title is Director Of Contracting and has the following contact phone number (731) 507-0062.

The CLIA number assigned to this NPI record is 44D2159400 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2018 and was last updated on 8/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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