MISSISSIPPI BRAIN AND SPINE, PLLC (NPI# 1790265627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790265627 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI BRAIN AND SPINE, PLLC |
| Other Organization Name | MS BRAIN AND SPINE |
| Practice Address |
1 Layfair Drive Ste 120 Flowood MS 39232 |
| Mailing Address |
200 Rittenhouse Circle East Building Ste 5 Bristol PA 19007 |
| Practice Telephone | 8885900808 |
| Practice Fax Number | 8667404689 |
| Mailing Telephone | 8885900808 |
| Mailing Fax Number | 8667404689 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Authorized Official Name | MACKENZIE HAHN (NCPDP COORDINATOR) |
| Authorized Official Telephone | 8885900808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 15123 | MS | Suppliers |
| Other Name | Type Code |
|---|---|
| MS Brain and Spine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356671556 | Mississippi Brain and Spine, Pllc | Specialist | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2010-01-11 |
| Street Address |
1 LAYFAIR DRIVE STE 120 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232 |
| 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 |
| 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 |
| 1841742756 | Manisha Shrestha Pradhan | Dentist | 105 Ridgeway, Flowood, MS 39232 | 2016-10-26 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1285177543 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 7668b Airways Blvd, Southaven, MS 38671-5304 | 2016-11-18 |
| 1114373586 | Gentex Pharma | Non-Pharmacy Dispensing Site | 121 Marketridge Dr, Suite C, Ridgeland, MS 39157-6027 | 2016-05-04 |
| 1952783078 | Mom 2 Be, LLC | Non-Pharmacy Dispensing Site | 449 Wilkins Wise Rd, Columbus, MS 39705-1756 | 2015-06-25 |
| 1982176426 | Brian Shwer, Dpm | Non-Pharmacy Dispensing Site | 564 Goodman Rd E, Southaven, MS 38671-9526 | 2018-12-21 |
| 1790269439 | Pain Consultants of Alabama, LLC | Non-Pharmacy Dispensing Site | 4105 Hospital Road, Ste 112b, Pascagoula, MS 39581 | 2018-09-19 |
| 1316366503 | Bienville Orthopaedic Specialists LLC | Non-Pharmacy Dispensing Site | 1720a Medical Park Dr Ste 220, Biloxi, MS 39532-2127 | 2014-04-15 |
| 1295161404 | Mississippi Orthopaedic Institute | Non-Pharmacy Dispensing Site | 15190 Community Rd Ste 120, Gulfport, MS 39503-3484 | 2013-09-19 |
| 1679826945 | Sotolongo Clinic, Pa | Non-Pharmacy Dispensing Site | 731 S Pear Orchard Rd, Suite 7, Ridgeland, MS 39157-4800 | 2012-10-23 |
| 1578613188 | Urgent Medical Clinic Inc | Non-Pharmacy Dispensing Site | 176 Goodman Rd W, Southaven, MS 38671-9405 | 2007-01-12 |
| 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.