MISSISSIPPI PAIN MANAGEMENT PLLC NPI 1316558893

NPI Information

NPI: 1316558893
Provider Name: MISSISSIPPI PAIN MANAGEMENT, PLLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 25D2098368

Address:
1080 RIVER OAKS DR STE B103
FLOWOOD, MS
ZIP 39232
Phone: (601) 566-1375
Get Directions

MISSISSIPPI PAIN MANAGEMENT, PLLC is a pain clinic center in Flowood, MS. MISSISSIPPI PAIN MANAGEMENT, PLLC NPI is 1316558893. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1080 RIVER OAKS DR STE B103
FLOWOOD, MS
ZIP 39232-602
Phone: (601) 566-1375

The provider's authorized official is John B Adams .
The authorized official title is President and has the following contact phone number (601) 566-1375.

The CLIA number assigned to this NPI record is 25D2098368 - other - radiology idtf with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2020 and was last updated on 8/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208VP0014X	Pain Medicine	Interventional Pain Medicine			No
2	261QP3300X	Clinic/Center	Pain			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00120868	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »