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Dynamic Pain & Wellness LLC

NPI 1386123560ActiveOrganization· Pain Medicine, Pain Medicine· Mobile, AL

Pain Medicine, Pain Medicine in Mobile, Alabama, registered in NPPES in August 2018, part of Dynamic Pain & Wellness PLLC. The authorized official on file is Trista Elliott, Credentialing.

Overview

NPI1386123560
StatusActive
Entity typeOrganization (subpart)
Parent organizationDynamic Pain & Wellness PLLC
NPI issuedAug 9, 2018
Last updated in NPPESMay 15, 2026
Certified by providerMay 15, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pain Medicine, Pain Medicine Primary208VP0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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