MEDICARE: SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1134872922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES

Provider Business Mailing Address
First Line	:	281 N LYERLY ST STE 200
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37404-2749
Country	:	US
Telephone Number	:	423-541-1028
Fax Number	:

Provider Business Practice Location Address
First Line	:	862 CALLEN LN NW STE 110
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-7020
Country	:	US
Telephone Number	:	423-331-5025
Fax Number	:	423-698-0511

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	JESSE HAYES
Credential	:
Telephone Number	:	423-541-1028

Provider Enumeration Date	:	02/01/2022
Last Update Date	:	05/28/2026

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