Mid South Pain & Anesthesia Clinic, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

017865 Issued in TN

Legal business name

MID SOUTH PAIN & ANESTHESIA CLINIC, INC.

Practice address

3087 Professional PLZ
Germantown, TN 38138-7912

Phone

(901) 761-0800

Fax

(901) 761-7738

NPI assigned

Mar 10, 2014

Last updated

Feb 29, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phillip Edward Green, M.D.NPI 1639175037

Title

Owner

Phone

(901) 761-0800

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip Edward Green, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Memphis, TN
  • NPI 1639175037
  NPD Authorized official
• Kristen Marie Watson, DO

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1437317971
  NPD
• Ruth Anne Bridges

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1033142567
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1093131401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382067",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381832067",
            "telephone_number": "901-821-0338",
            "fax_number": "901-761-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3087 PROFESSIONAL PLZ",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387912",
            "telephone_number": "901-761-0800",
            "fax_number": "901-761-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH PAIN & ANESTHESIA CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-761-0800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "017865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E. Steuer MD PC
• Michael P. Berry, MD, PC
• Mid South Endodontics PLLC
• Mid South Neurology Clinic PLLC
• Mid South Pain & Anesthesia Clinic Inc
• Mid South Radiation Oncology Center, LLC
• Mid-South Cancer Center
• Mid-South Ear, Nose, and Throat, P.C.
• Mid-South Ear, Nose, and Throat, P.C.
• Mid-South Imaging & Therapeutics, P.a.

• Durable Medical Equipment & Medical Supplies in Germantown, TN
• Providers in Germantown, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.