Physician Associate Interdisciplinary Clinic (pain-C)
NPI 1407373210 · Physician Assistant · Memphis, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Physician Associate Interdisciplinary Clinic (pain-C) is a Physician Assistant organization in Memphis, TN (NPI 1407373210).
Provider details
- NPI number
- 1407373210
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Maurice Skillern, President / Ceo(706) 536-3272
- License
- 1805 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Registry dates
- Enumerated
- 2017-08-23
- Last updated
- 2021-11-10
- Certified
- 2021-11-10
Frequently asked questions
- What is Physician Associate Interdisciplinary Clinic (pain-C)'s NPI number?
- Physician Associate Interdisciplinary Clinic (pain-C)'s National Provider Identifier (NPI) is 1407373210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physician Associate Interdisciplinary Clinic (pain-C)?
- Physician Associate Interdisciplinary Clinic (pain-C) is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Physician Associate Interdisciplinary Clinic (pain-C) located?
- Physician Associate Interdisciplinary Clinic (pain-C)'s practice location on file with NPPES is 4131 Kirby Pkwy Ste 1, Memphis, TN 38115-3206.
- What is Physician Associate Interdisciplinary Clinic (pain-C)'s phone number?
- The practice phone number listed in the NPPES registry for Physician Associate Interdisciplinary Clinic (pain-C) is (706) 536-3272.
- Does Physician Associate Interdisciplinary Clinic (pain-C) accept Medicare?
- Physician Associate Interdisciplinary Clinic (pain-C) 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 Physician Associate Interdisciplinary Clinic (pain-C)?
- The authorized official listed on Physician Associate Interdisciplinary Clinic (pain-C)'s NPPES record is Maurice Skillern, President / Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physician Associate Interdisciplinary Clinic (pain-C)'s NPI active?
- Yes — Physician Associate Interdisciplinary Clinic (pain-C)'s NPI (1407373210) is active in the NPPES registry as of the last update on 2021-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.