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

Interventional Pain Center, PLLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1790221612

Interventional Pain Center, PLLC is a Pain Medicine (Anesthesiology) Physician in Henderson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

451 Ruin Creek Rd Ste 103
Henderson, NC 27536-2878
Phone: (252) 438-3186
Fax: (252) 438-2602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 200100673 (NC)

Record details

NPI number1790221612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaneka Tinch — Rcm Manager · (469) 458-9222
NPI enumeratedJanuary 17, 2017
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing addressPo Box 931038, Atlanta, GA 31193-1038