Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Interventional Pain Management, PA

Organization Pain Medicine (Anesthesiology) Physician · NPI 1982669339

Advanced Interventional Pain Management, PA is a Pain Medicine (Anesthesiology) Physician in Winston Salem, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

160 Kimel Forest Dr SUITE100
Winston Salem, NC 27103-6074
Phone: (336) 714-6400
Fax: (336) 714-6402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1982669339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnette Shultz — Cfo, Practice Administrator · (336) 714-6406
NPI enumeratedApril 19, 2006
Last updated in NPPESJanuary 6, 2010
Mailing address160 Kimel Forest Dr, Suite 100, Winston Salem, NC 27103-6074

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