PREMIER INTERVENTIONAL PAIN OF MISSISSIPPI LLC (NPI# 1831512359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831512359 |
| Entity Type | Organization |
| Organization Name | PREMIER INTERVENTIONAL PAIN OF MISSISSIPPI LLC |
| Practice Address |
1400 E Union St Greenville MS 38703-3246 |
| Mailing Address |
2655 Northwinds Pkwy Alpharetta GA 30009-2280 |
| Practice Telephone | 7706435501 |
| Practice Fax Number | 4049411304 |
| Mailing Telephone | 7706435501 |
| Mailing Fax Number | 4049411304 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | KERRY TEEL (PRESIDENT) |
| Authorized Official Telephone | 7706435501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1400 E UNION ST |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720059249 | Delta Regional Anesthesiology Group | Nurse Anesthetist, Certified Registered | 1400 E Union St, Greenville, MS 38703-3246 | 2006-02-01 |
| 1295352649 | Jordan C Thomas | Family Medicine | 1400 E Union St, Greenville, MS 38703-3246 | 2020-07-01 |
| 1467088690 | Lakendra Taylor | Nurse Practitioner | 1400 E Union St, Greenville, MS 38703-3246 | 2020-03-19 |
| 1235760356 | Traci Tarver Cummins | Physician Assistant | 1400 E Union St, Greenville, MS 38703-3246 | 2020-01-28 |
| 1447896824 | Jasmine Williams | Registered Nurse | 1400 E Union St, Greenville, MS 38703-3246 | 2019-11-21 |
| 1447818026 | Dmg-er Physician Billing | Emergency Medicine | 1400 E Union St, Greenville, MS 38703-3246 | 2019-05-30 |
| 1962984732 | Csqshundra D Cox | Nurse Practitioner | 1400 E Union St, Greenville, MS 38703-3246 | 2018-08-29 |
| 1316445273 | Meagan Mcneil Mccoy | Physician Assistant | 1400 E Union St, Greenville, MS 38703-3246 | 2018-01-25 |
| 1942717590 | Corey Auerswald | Nurse Anesthetist, Certified Registered | 1400 E Union St, Greenville, MS 38703-3246 | 2018-01-04 |
| 1770021982 | Kyle T Christopher | Clinical Nurse Specialist | 1400 E Union St, Greenville, MS 38703-3246 | 2017-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| Find all providers in zip 38703 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366463036 | John Russell Satterthwaite | Pain Medicine | 220 Roper Mountain Road Ext, Greenville, SC 29615-4825 | 2006-07-21 |
| 1063476604 | Lisa Ann Pullum | Pain Medicine | 6896 South Greenville Rd, Ste 100, Greenville, MI 48838 | 2006-04-12 |
| 1295159705 | Piedmont Comprehensive Pain Management Group LLC | Pain Medicine | 3 Saint Francis Dr, Suite 480, Greenville, SC 29601-3971 | 2014-02-05 |
| 1912253725 | Interventional Pain Management Associates, LLC | Pain Medicine | 21 Brendan Way, Greenville, SC 29615-3514 | 2012-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639317274 | Robert A Wiemer Jr. | Pain Medicine | 528-f Klondike Road, Long Beach, MS 39560 | 2009-02-03 |
| 1922218627 | Robert Fortier Bensen | Pain Medicine | 445 Security Sq, Gulfport, MS 39507-1922 | 2007-05-23 |
| 1811098874 | Laurel Pain Clinic Pa | Pain Medicine | 1706 W 12th St, Laurel, MS 39440-2559 | 2006-09-25 |
| 1922092881 | Eric Pearson | Pain Medicine | 1001 14th St, Meridian, MS 39301-4458 | 2005-09-07 |
| 1497752760 | Fani B Manney | Pain Medicine | #4 Doctors Dr, Suite C, Ocean Springs, MS 39564 | 2005-07-01 |
| 1417953050 | Steven Thomas Richey | Pain Medicine | 122 Airways Pl, Southaven, MS 38671-5872 | 2005-06-27 |
| 1316558893 | Mississippi Pain Management, Pllc | Pain Medicine | 1080 River Oaks Dr Ste B103, Flowood, MS 39232-7602 | 2020-08-10 |
| 1083193031 | Bacas Interventional Pain Management, LLC | Pain Medicine | 1430 Highway 4 E, Holly Springs, MS 38635-2140 | 2018-08-10 |
| 1356848014 | Flowood Pain Center, LLC | Pain Medicine | 120 Stone Creek Blvd Ste 500, Flowood, MS 39232-8210 | 2018-04-10 |
| 1134596760 | Pain Partners, LLC | Pain Medicine | 1001 14th St, Meridian, MS 39301-4458 | 2015-08-31 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 38703 |
Please comment or provide details below to improve the information on PREMIER INTERVENTIONAL PAIN OF MISSISSIPPI LLC.
| 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.