Healthcare Provider Details

I. General information

NPI: 1497322028
Provider Name (Legal Business Name): NASHVILLE PAIN & WELLNESS CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 11/10/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 N HIGHLAND AVE STE 2A
MURFREESBORO TN
37130-2495
US

IV. Provider business mailing address

PO BOX 681508
FRANKLIN TN
37068-1508
US

V. Phone/Fax

Practice location:
  • Phone: 615-661-7888
  • Fax: 615-661-9001
Mailing address:
  • Phone: 615-661-7888
  • Fax: 615-661-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MADHU SRINIVASAMURTHY YELAMELI
Title or Position: MD
Credential: OWNER/DIRECTOR/MD
Phone: 615-661-7888