OrganizationActive
Southeastern Pain PLLC
NPI 1992217723 · Pain Medicine (Anesthesiology) Physician · Wartburg, TN
Provider details
- NPI number
- 1992217723
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Black, Owner(770) 548-2182
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
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
1236 Knoxville Hwy
Wartburg, TN 37887
Phone: (770) 548-2182
Street-level locationGet directions
Mailing address
3671 Burning Bush Rd
Ringgold, GA 30736-5725
Registry dates
- Enumerated
- 2017-11-02
- Last updated
- 2018-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.