OrganizationActive
Premier Pain Practice PLLC
NPI 1619348463 · Pain Medicine (Anesthesiology) Physician · Fayetteville, NC
Provider details
- NPI number
- 1619348463
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sanjay Shah, Owner(910) 987-2571
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1782 Metromedical Dr
Fayetteville, NC 28304-3861
Phone: (910) 339-7951
Fax: (910) 339-7952
Street-level locationGet directions
Mailing address
1782 Metromedical Dr
Fayetteville, NC 28304-3861
Registry dates
- Enumerated
- 2015-10-19
- Last updated
- 2022-10-28
- Certified
- 2022-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.