NEWSOUTH NEUROSPINE LLC NPI 1770743031

NPI Information

NPI: 1770743031
Provider Name: NEWSOUTH NEUROSPINE, LLC

Other Name: NEWSOUTH NEUROSPINE PAIN CENTER

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
2470 FLOWOOD DR
FLOWOOD, MS
ZIP 39232
Phone: (877) 554-4257
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NEWSOUTH NEUROSPINE, LLC is a pain clinic center in Flowood, MS. NEWSOUTH NEUROSPINE, LLC NPI is 1770743031. The provider is registered as an organization entity type.
The provider Other Name Is Newsouth Neurospine Pain Center.

The provider's business location address is:

2470 FLOWOOD DR
FLOWOOD, MS
ZIP 39232-019
Phone: (877) 554-4257
Fax: (601) 983-2845

The provider's authorized official is Frank S. York .
The authorized official title is Ceo and has the following contact phone number (877) 554-4257.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 7/13/2015.

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	261QP3300X	Clinic/Center	Pain			No
2	261QP3300X	Clinic/Center	Pain		MISSISSIPPI	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
1	00181071	MEDICAID	MISSISSIPPI
2	6164110001	MEDICARE NSC	MISSISSIPPI
3	25C0001072	MEDICARE OSCAR/CERTIFICATION	MISSISSIPPI
4	512G49005	MEDICARE PIN	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: 4/28/2024

NPI Synchronization or Removal

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