Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Cleveland Pain Management, PC

General Practice Physician in Cleveland, TN · enumerated 2008 · authorized official Timothy Deroos, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649416926

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Registry record

Entity type Organization (Type 2)

Legal business name Cleveland Pain Management, PC

Practice address 340 Sunset Dr Nw, Cleveland, TN, 37312

Phone (423) 614-5654

Fax (423) 614-5645

Enumeration date Dec 17, 2008

Last updated in NPPES Aug 3, 2010

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License 1294 (TN) Secondary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 9519 (TN) Primary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1753 (TN) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1830 (TN) Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 15022 (TN) Secondary

363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 13925 (TN) Secondary

Authorized official

Name Timothy Deroos

Title President

Phone (423) 614-5654

Other identifiers

Identifier	Type	State	Issuer
4026063	Other	TN	BCBSTN
1513537	Medicaid	TN	-
3730366	Other	TN	MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Cleveland Pain Management, PC located?

The practice location on file with NPPES is in Cleveland, TN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-08-03. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Deroos Family & Pediatric Health Center PC Chiropractor · Cleveland, TN NPI 1770613465 Timothy Deroos Chiropractor · Cleveland, TN NPI 1851421523

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-03.