JACKSON ANESTHESIA PAIN CENTER, LLC


Address: 1190 N State St, Suite 300, Jackson, MS 39202-2413
Phone: 6017090607

JACKSON ANESTHESIA PAIN CENTER, LLC (NPI# 1104166362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104166362
Entity Type Organization
Organization Name JACKSON ANESTHESIA PAIN CENTER, LLC
Practice Address 1190 N State St
Suite 300
Jackson
MS 39202-2413
Practice Telephone 6017090607
Practice Fax Number 6017092110
Mailing Telephone 6017090607
Mailing Fax Number 6017092110
Enumeration Date 2013-02-26
Last Update Date 2013-02-26
Authorized Official Name DR. CARROLL M MCLEOD (OWNER)
Authorized Official Telephone 6017090607
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0000X Pain Medicine
Specialization: Pain Medicine
12138 MS Allopathic & Osteopathic Physicians

Office Location

Street Address 1190 N STATE ST
SUITE 300
City JACKSON
State MS
Zip Code 39202-2413

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881699775 Richard L Blount Ophthalmology 1190 N State St, Ste 403, Jackson, MS 39202-2413 2005-06-16
1871086207 Sarah Kelly Erwin Dietitian, Registered 1190 N State St, Jackson, MS 39202-2413 2018-06-11
1184081234 Tammy Sims Davis Physician Assistant 1190 N State St, Suite 502, Jackson, MS 39202-2413 2016-01-20
1720453145 Jarrod Bryant Physical Therapist 1190 N State St, Jackson, MS 39202-2413 2015-12-10
1750756201 Mississippi Baptist Health Systems Physical Therapist 1190 N State St, Jackson, MS 39202-2413 2015-12-09
1164897807 Benjamin Adcock Physical Therapist 1190 N State St, Jackson, MS 39202-2413 2015-12-07
1275903684 Brian Gates Nurse Practitioner 1190 N State St, Suite 300, Jackson, MS 39202-2413 2015-09-28
1376940130 Joel Christopher Boothe Registered Nurse 1190 N State St, Suite 301, Jackson, MS 39202-2413 2014-11-21
1134546294 Tammy Bartholomew Social Worker 1190 N State St, Suite 301, Jackson, MS 39202-2413 2014-03-26
1366866154 Courtney Wright Physician Assistant 1190 N State St, Suite 502, Jackson, MS 39202-2413 2014-02-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
Find all providers in zip 39202

Taxonomy Information

Taxonomy Code 208VP0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Pain Medicine

Taxonomy Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Notes: Source: American Academy of Pain Medicine, www.painmed.org
- Additional Resources:The American Board of Pain Medicine provides Board Certification.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407393366 W.a. Foote Memorial Hospital, Inc Pain Medicine 205 N. East Ave, Jackson, MI 49201 2017-01-30
1063786036 The Pain Clinic of Mississippi, Pllc Pain Medicine 5903 Ridgewood Rd, Suite 440, Jackson, MS 39211-3700 2012-03-08
1992094874 Karen Pantazis Md Pain Medicine 817 Court St, Suite 14, Jackson, CA 95642-2156 2011-03-31
1588836332 Pain Management Consultants Pllc Pain Medicine 971 Lakeland Dr, Suite 1060, Jackson, MS 39216-4643 2008-04-01
1750300836 Anesthesia Consultants Pa Pain Medicine 1030 River Oaks Dr, River Oaks Health System, Jackson, MS 39208 2006-07-19
1114928223 Geoffrey K Skene Pain Medicine 555 E Broadway, Jackson, WY 83001-9496 2005-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922502194 Oakes Family Pain Solutions Pllc Pain Medicine 1907 Lisa Drive Ext Ste B, Greenville, MS 38703-4429 2018-03-21
1508273335 South Central Clinics, Inc Pain Medicine 2002 Highway 15 N Ste D, Laurel, MS 39440-1983 2014-07-14
1053954545 Multimodality Pain & Wellness Center Pain Medicine 423 Central Ave, Coldwater, MS 38618-3915 2019-10-28
1922275742 Memorial Hospital At Gulfport Pain Medicine 1340 Broad Ave, Ste 450, Gulfport, MS 39501-2404 2008-05-12
1003092818 Neshoba Family Medical Clinic Pain Medicine 921 W Beacon St, Philadelphia, MS 39350-3229 2008-01-11
1700818804 Dennis Dewayne Mccoy Pain Medicine 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2006-07-07
1659312007 Pain Consultants of Alabama,llc Pain Medicine 4105 Hospital St, Suite 112b, Pascagoula, MS 39581-5312 2006-06-09

Competitor

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City JACKSON
Zip Code 39202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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