PAIN TREATMENT CENTER (NPI# 1174689533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174689533 |
| Entity Type | Organization |
| Organization Name | PAIN TREATMENT CENTER |
| Practice Address |
106 Asbury Cir Hattiesburg MS 39402-1302 |
| Mailing Address |
106 Asbury Circle Hattiesburg MS 39402 |
| Practice Telephone | 6012688698 |
| Mailing Telephone | 6012688698 |
| Mailing Fax Number | 6012963049 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2011-01-20 |
| Authorized Official Name | DR. DAVID L MCKELLAR (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6012688698 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | ASC ID NUMBER | 25C0001032 | 01 |
| MS | 00770530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487091773 | Pain Treatment Center | Specialist | 226 Centennial Ave, Cranford, NJ 07016-3137 | 2013-05-28 |
| 1932382199 | Pain Treatment Center | Anesthesiology | 601 Elmwood Ave, Box 604, Rochester, NY 14642-0001 | 2007-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PAIN TREATMENT CENTER | 902 Frostwood Dr Ste 284, Houston, TX 77024-2403 |
| Massachusetts Corporations | PAIN TREATMENT CENTER OF SOUTHEASTERN MASS., P.C. | 88 Faunce Corner Rd., North Dartmouth, MA 02747 |
| Street Address |
106 ASBURY CIR |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619920584 | Pain Consultants of South Mississippi Pa | Anesthesiology | 106 Asbury Cir, Hattiesburg, MS 39402-1302 | 2006-05-19 |
| 1629550496 | Crystal Nichole Wallace | Nurse Practitioner | 106 Asbury Cir, Hattiesburg, MS 39402-1302 | 2018-08-29 |
| 1700947579 | David Loflin Mckellar | Anesthesiology | 106 Asbury Cir, Hattiesburg, MS 39402-1302 | 2006-12-13 |
| 1295896884 | Joe N Leigh | Anesthesiology | 106 Asbury Cir, Hattiesburg, MS 39402-1302 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508922865 | Institute for Spinal Pain Treatment | Clinic/Center | 1 Lincoln Parkway, Suite 106, Hattiesburg, MS 39402 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104300854 | Willow Pain and Wellness, LLC | Clinic/Center | 255 Medical Center Dr., Batesville, MS 38606 | 2018-09-19 |
| 1679096192 | Neuromodulation Specialists LLC | Clinic/Center | 4105 Hospital St # 112c, Pascagoula, MS 39581-5312 | 2017-07-18 |
| 1265527899 | Methodist Pain Management, LLC | Clinic/Center | One Layfair Dr, Suite 400, Jackson, MS 39232 | 2006-10-03 |
| 1710929310 | Trinity Pain Clinic, P.a. | Clinic/Center | 1307 Airport Rd N, Suite 2a, Flowood, MS 39232-8897 | 2006-06-11 |
| 1790385417 | Panola Physician Group, LLC | Clinic/Center | 2089 Southridge Dr, Tupelo, MS 38801-6478 | 2020-10-30 |
| 1093188096 | Willow Pain and Wellness, LLC | Clinic/Center | 2215 Jefferson Davis Dr, Oxford, MS 38655-5221 | 2015-11-12 |
| 1639583941 | Comprehensive Pain Specialists | Clinic/Center | 120 Stone Creek Blvd, Flowood, MS 39232-8205 | 2014-06-13 |
| 1336408186 | Premier Pain Care, P.C. | Clinic/Center | 514f E Woodrow Wilson Ave, Jackson, MS 39216-4538 | 2012-05-15 |
| 1770743031 | Newsouth Neurospine, LLC | Clinic/Center | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2008-06-11 |
| 1902965866 | Och Center for Pain Management | Clinic/Center | 107 Doctors Park, Starkville, MS 39759-2174 | 2006-12-07 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on PAIN TREATMENT CENTER.
| 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.