OrganizationActive
Interventional Pain Center PLLC
NPI 1558428789 · Pain Medicine (Anesthesiology) Physician · Fayetteville, NC
Provider details
- NPI number
- 1558428789
- 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
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2153 Valleygate Dr
Suite 102
Fayetteville, NC 28304-3681
Phone: (910) 321-7246
Fax: (910) 321-7245
Street-level locationGet directions
Mailing address
Po Box 931038
Atlanta, GA 31193-1038
Other names (DBA / former)
- Former legal business name
- Fayetteville Pain Center, PLLC
Registry dates
- Enumerated
- 2007-01-03
- 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.