Healthcare Provider Details

I. General information

NPI: 1164335873
Provider Name (Legal Business Name): ASSOCIATED PAIN SPECIALISTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2263 SANDSTONE DR
MORRISTOWN TN
37814-2593
US

IV. Provider business mailing address

1326 PAPERMILL POINTE WAY
KNOXVILLE TN
37909-1903
US

V. Phone/Fax

Practice location:
  • Phone: 423-616-1300
  • Fax: 423-616-1303
Mailing address:
  • Phone: 865-673-5000
  • Fax: 865-330-6323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: LAYLA FULKS
Title or Position: HR/CREDENTIALING
Credential:
Phone: 865-673-5000