Organization provider

THE PAIN CLINIC OF MISSISSIPPI, PLLC

Family Nurse Practitioner Pain Medicine Physician

THE PAIN CLINIC OF MISSISSIPPI, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063786036, based in Jackson, MS. The organization lists 2 taxonomy classifications, with Family Nurse Practitioner recorded as primary.

Getting there

The practice address on file is 5903 RIDGEWOOD RD SUITE 440, Jackson, MS 39211. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5903 RIDGEWOOD RD SUITE 440, Jackson, MS 39211 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family primary
208VP0000X Pain Medicine Physician Pain Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1063786036 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 8, 2012
Last updatedMar 8, 2012
StatusActive
Practice address 5903 RIDGEWOOD RD
SUITE 440
Jackson, MS 39211
(601) 899-3989
Fax (601) 899-3504
Mailing address PO BOX 235019
Montgomery, AL 36123
This record was last updated on Mar 8, 2012, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063786036 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 7 8 6 0 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 5 8 3 0 6

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063786036?
NPI 1063786036 is the National Provider Identifier assigned to THE PAIN CLINIC OF MISSISSIPPI, PLLC in Jackson, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact THE PAIN CLINIC OF MISSISSIPPI, PLLC?
The phone number on file with NPPES is (601) 899-3989, last updated Mar 8, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1063786036 a valid number?
Yes. 1063786036 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.