JACKSON INTERVENTIONAL PAIN CENTER LLC NPI 1114233228

NPI Information

  • NPI: 1114233228
  • Provider Name: JACKSON INTERVENTIONAL PAIN CENTER LLC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 379 HOSPITAL BLVD
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 267-0222

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NPI Details

JACKSON INTERVENTIONAL PAIN CENTER LLC is a pain medicine anesthesiology in Jackson, TN. The provider is 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. JACKSON INTERVENTIONAL PAIN CENTER LLC NPI is 1114233228. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

379 HOSPITAL BLVD
JACKSON, TN
ZIP 38305-177
Phone: (731) 267-0222

The provider's authorized official is Eric Homberg .
The authorized official title is Owner and has the following contact phone number (731) 267-0222.

The enumeration date for this NPI number is 8/26/2010 and was last updated on 9/7/2010.

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
1207LP2900XAnesthesiologyPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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