PLATINUM MEDICAL GROUP (NPI# 1962824482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962824482 |
| Entity Type | Organization |
| Organization Name | PLATINUM MEDICAL GROUP |
| Practice Address |
515 Stonecrest Pkwy Suite 230 Smyrna TN 37167-6826 |
| Practice Telephone | 6153550554 |
| Practice Fax Number | 6154353275 |
| Mailing Telephone | 6153550554 |
| Mailing Fax Number | 6154353275 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |
| Authorized Official Name | DR. CHAD STEPHEN BOOMERSHINE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6153550554 |
| Authorized Official Credential | M.D., PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 38402 | TN | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
38402 | TN | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
38402 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083946180 | Platinum Medical Group | Specialist | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2010-02-01 |
| Street Address |
515 STONECREST PKWY SUITE 230 |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053305664 | Lee David Mockrin | Pediatrics | 515 Stonecrest Pkwy, Suite 150, Smyrna, TN 37167-6826 | 2005-09-09 |
| 1700243102 | Middle Tennessee Oral & Maxillofacial Surgery | Dentist | 515 Stonecrest Pkwy, Suite 240, Smyrna, TN 37167-6826 | 2016-01-15 |
| 1225454788 | Erin Wolf Michelier | Physical Therapist | 515 Stonecrest Pkwy, Ste.120, Smyrna, TN 37167-6826 | 2014-03-07 |
| 1598101792 | Kyle Todd | Physical Therapist | 515 Stonecrest Pkwy, Ste 120, Smyrna, TN 37167-6826 | 2013-05-14 |
| 1215282025 | Mitali Nanda | Pediatrics | 515 Stonecrest Pkwy, Suite 150, Smyrna, TN 37167-6826 | 2012-07-17 |
| 1568763761 | Emily Burn | Physical Therapist | 515 Stonecrest Pkwy, Suite 120, Smyrna, TN 37167-6826 | 2010-11-04 |
| 1639493380 | Tracy L. Carter | Nurse Practitioner | 515 Stonecrest Pkwy, Suite 150, Smyrna, TN 37167-6826 | 2010-03-24 |
| 1275864571 | Sleep Center of Hermitage, Pllc | Internal Medicine | 515 Stonecrest Pkwy, Suite 200, Smyrna, TN 37167-6826 | 2010-01-26 |
| 1194973651 | Kimberly B Morris | Physical Therapist | 515 Stonecrest Pkwy, Suite 120, Smyrna, TN 37167-6826 | 2008-09-08 |
| 1508051426 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 515 Stonecrest Pkwy, Smyrna, TN 37167-6826 | 2007-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
| Find all providers in zip 37167 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609155357 | Innovativemdgroup | Pain Medicine | 3903 South Cobb, Suite 105, Smyrna, GA 30080-6370 | 2011-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1679979959 | Eclipse Pain Network, LLC | Pain Medicine | 226 Uffelman Dr, Clarksville, TN 37043-4974 | 2014-11-13 |
| 1407261647 | Knoxville Pain Specialists, Pllc | Pain Medicine | 3714 River Trace Ln, Knoxville, TN 37920-7118 | 2014-06-26 |
| 1871903690 | Interventional Healthcare Services | Pain Medicine | 4524 Hixson Pike, Hixson, TN 37343-5041 | 2014-05-01 |
| 1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
| 1568723088 | Donald Boatright, Md., PC | Pain Medicine | 607 W Due West Ave Ste 113, Madison, TN 37115-4428 | 2012-05-31 |
| 1427340603 | Northern Tennessee Pain Management Center | Pain Medicine | 1805 8th Ave S, Nashville, TN 37203-5011 | 2011-05-06 |
| 1265723563 | Total Healthcare Consultants PC | Pain Medicine | 200 New York Ave Ste 320, Oak Ridge, TN 37830-5227 | 2011-04-21 |
| 1619266814 | Ken Homolya Md LLC | Pain Medicine | 103 Hazel Path, Suite 7, Hendersonville, TN 37075-1602 | 2011-03-29 |
| 1699075796 | Blount Pain Consultants LLC | Pain Medicine | 186 Airport Plaza Blvd, Suite E, Alcoa, TN 37701-3182 | 2010-10-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.