Healthcare Provider Details

I. General information

NPI: 1841062627
Provider Name (Legal Business Name): NASHVILLE PAIN & WELLNESS CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5073 MAIN ST STE 140
SPRING HILL TN
37174-2738
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 Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

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