Faodail Pain Management, PLLC
NPI 1114524824 · Pain Medicine Physician · Grantham, NH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Faodail Pain Management, PLLC is a Pain Medicine Physician organization in Grantham, NH (NPI 1114524824).
Provider details
- NPI number
- 1114524824
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melynda Wallace, Owner(603) 309-3902
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Full Life Pain and Depression Center
Registry dates
- Enumerated
- 2020-10-06
- Last updated
- 2023-07-25
- Certified
- 2023-07-25
Frequently asked questions
- What is Faodail Pain Management, PLLC's NPI number?
- Faodail Pain Management, PLLC's National Provider Identifier (NPI) is 1114524824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Faodail Pain Management, PLLC?
- Faodail Pain Management, PLLC is classified in the NPPES registry as Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Faodail Pain Management, PLLC located?
- Faodail Pain Management, PLLC's practice location on file with NPPES is 151 Route 10 N Unit 2, Grantham, NH 03753-3621.
- What is Faodail Pain Management, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Faodail Pain Management, PLLC is (603) 309-3902.
- Does Faodail Pain Management, PLLC accept Medicare?
- Faodail Pain Management, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Faodail Pain Management, PLLC?
- The authorized official listed on Faodail Pain Management, PLLC's NPPES record is Melynda Wallace, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Faodail Pain Management, PLLC's NPI active?
- Yes — Faodail Pain Management, PLLC's NPI (1114524824) is active in the NPPES registry as of the last update on 2023-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.