PAIN CLINIC ASSOCIATES PLLC – NPI #1306496567
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

PAIN CLINIC ASSOCIATES PLLC is a provider located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1306496567 to PAIN CLINIC ASSOCIATES PLLC on September 18, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 2 years ago on Mar 15, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAIN CLINIC ASSOCIATES PLLC below.

NPI Profile for
PAIN CLINIC ASSOCIATES PLLC

NPI Number
1306496567
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PAIN CLINIC ASSOCIATES PLLC
Primary location
7600 AIRWAYS BLVD STE A
SOUTHAVEN, MS 38671-5138
Phone: (901) 747-0040 Fax: (901) 747-0038
1 Other location(s):
7600 Airways Blvd Ste E
Southaven, MS 38671-5138
Phone: (901) 747-0040
Fax: (901) 747-0038
Mailing address
PO BOX 931320
ATLANTA, GA 31193-1320
Phone: Fax:
Organization Subpart
No
Authorized Official
RAY SAUNDERS
PRACTICE ADMINISTRATOR
Phone: (901) 507-1595
Updated
Certification Date
Mar 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PAIN CLINIC ASSOCIATES PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherNPIMS1306496567
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
2084N0400X
- Psychiatry & Neurology / Neurology
207LP2900X
- Anesthesiology / Pain Medicine
207L00000X
- Anesthesiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
CONNECT URL
Endpoint Description
WORK EMAIL
Content Type
Affiliation
N
Endpoint Location
7900 AIRWAYS BLVD STE 6,
SOUTHAVEN, MS 77025-1669