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NPI · 1407373210 · NPPES-sourced

Physician Associate Interdisciplinary Clinic (pain-C)

ActivePhysician Assistant
NPI Number
1407373210
Type 2 · Organisation
Taxonomy Code
363A00000X
Contact
(706) 536-3272
License TN · 1805
Last Updated
Enumerated
Primary practice addressTN · 38115-3206
4131 Kirby Pkwy Ste 1, Kirby-Raines Medical CenterMemphis, TN 38115-3206
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About this NPIWhat this record shows.

NPI 1407373210 is registered to Physician Associate Interdisciplinary Clinic (pain-C), a healthcare organisation classified as "Physician Assistant" and located at 4131 Kirby Pkwy Ste 1, Kirby-Raines Medical Center in Memphis, Tennessee. The organisation's authorised official is Maurice Skillern. The organisation has been enumerated in the NPI registry since 2017.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1407373210· Issued by CLINIC NPI NUMBER

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Physician Associate Interdisciplinary Clinic (pain-C) accepts. To confirm in-network status with your specific health plan, contact Physician Associate Interdisciplinary Clinic (pain-C) directly at (706) 536-3272.

Frequently asked

Yes. NPI 1407373210 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (706) 536-3272.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Physician Associate Interdisciplinary Clinic (pain-C) is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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