Organization Active NPI

Pain Partners, LLC

  • Interventional Pain Medicine Physician
  • Meridian, MS
National Provider Identifier
1134596760
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
13082 Issued in MS
Legal business name
PAIN PARTNERS, LLC
Practice address
1001 14TH St
Meridian, MS 39301-4458
Phone
(601) 482-9224
Fax
(601) 482-9223
NPI assigned
Aug 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Mr. Joey Daugherty, RN, BSN
Title
Administrator
Phone
(601) 482-9224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 13082 MS Primary

Addresses

Primary practice location

1001 14TH St
Meridian, MS 39301-4458

Mailing address

1001 14TH St
Meridian, MS 39301-4458
Phone (601) 482-9224

National Provider Directory

National Provider Directory

Locations

1001 14th St
Meridian, MS 39301
Phone (601) 482-9224

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1134596760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014458",
            "telephone_number": "601-482-9224",
            "fax_number": "601-482-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014458",
            "telephone_number": "601-482-9224",
            "fax_number": "601-482-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-482-9224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MS",
            "license": "13082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.