OrganizationActive
Interventional Pain Center, PLLC
NPI 1205372588 · Pain Medicine (Anesthesiology) Physician · Spring Lake, NC
Provider details
- NPI number
- 1205372588
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shaneka Tinch, Rcm Manager(469) 458-9222
- License
- 200100673 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
517 B Hwy 210 N
Spring Lake, NC 28390
Phone: (910) 436-0777
Fax: (910) 436-2001
Street-level locationGet directions
Mailing address
Po Box 931038
Atlanta, GA 31193-1038
Registry dates
- Enumerated
- 2017-01-11
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.