NEWSOUTH NEUROSPINE, LLC (NPI# 1770743031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770743031 |
| Entity Type | Organization |
| Organization Name | NEWSOUTH NEUROSPINE, LLC |
| Other Organization Name | NEWSOUTH NEUROSPINE PAIN CENTER |
| Practice Address |
2470 Flowood Dr Flowood MS 39232-9019 |
| Mailing Address |
Po Box 24537 Jackson MS 39225-4537 |
| Practice Telephone | 8775544257 |
| Practice Fax Number | 6019832845 |
| Mailing Telephone | 8775544257 |
| Mailing Fax Number | 6019832845 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2015-07-13 |
| Authorized Official Name | MR. FRANK S. YORK (CEO) |
| Authorized Official Telephone | 8775544257 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEWSOUTH NEUROSPINE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00181071 | 05 |
| Other Name | Type Code |
|---|---|
| NewSouth NeuroSpine Pain Center | Other Name - Individual/Organization |
| Street Address |
2470 FLOWOOD DR |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881635225 | Lance Klein | Nurse Practitioner | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2006-06-09 |
| 1811514599 | Steven Cialone | Physical Therapist | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2020-06-29 |
| 1083252753 | Danielle Phillips | Orthopaedic Surgery | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2019-12-12 |
| 1437717824 | Elizabeth Anne Oliver | Physical Therapy Assistant | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2019-05-31 |
| 1891290243 | Ochsner Mississippi, LLC | Internal Medicine | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2018-03-28 |
| 1679019350 | Kristen Wallace | Nurse Practitioner | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2017-01-18 |
| 1427407329 | Ochsner Clinic LLC | General Practice | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2016-06-10 |
| 1578911525 | Elliott Pettus | Physical Therapy Assistant | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2016-06-01 |
| 1659772556 | Amanda Cocilova | Nurse Practitioner | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2014-09-10 |
| 1821418872 | Mary Robinson | Physical Therapist | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2014-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710929310 | Trinity Pain Clinic, P.a. | Clinic/Center | 1307 Airport Rd N, Suite 2a, Flowood, MS 39232-8897 | 2006-06-11 |
| 1639583941 | Comprehensive Pain Specialists | Clinic/Center | 120 Stone Creek Blvd, Flowood, MS 39232-8205 | 2014-06-13 |
| 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 |
| 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 |
| 1336408186 | Premier Pain Care, P.C. | Clinic/Center | 514f E Woodrow Wilson Ave, Jackson, MS 39216-4538 | 2012-05-15 |
| 1174689533 | Pain Treatment Center | Clinic/Center | 106 Asbury Cir, Hattiesburg, MS 39402-1302 | 2006-12-29 |
| 1508922865 | Institute for Spinal Pain Treatment | Clinic/Center | 1 Lincoln Parkway, Suite 106, Hattiesburg, MS 39402 | 2006-12-29 |
| 1902965866 | Och Center for Pain Management | Clinic/Center | 107 Doctors Park, Starkville, MS 39759-2174 | 2006-12-07 |
| 1417067885 | Paspoint Anesthesia, Pllc | Clinic/Center | 3882 Bienville Blvd, Ocean Springs, MS 39564-5803 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
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| 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.