PRX LLC

Primary specialty

Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X

License

21276 Issued in MS

Legal business name

PRX LLC

Doing business as

PRX Healthcare Restoration Centers

Practice address

20 Rawls Springs Loop Rd
Hattiesburg, MS 39402-7801

Phone

(601) 582-6069

Fax

(601) 579-4842

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Conway

Title

Cfo

Phone

(601) 543-2849

Specialties & licenses 1

Addresses

Other names 1

• PRX Healthcare Restoration Centers Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Casey Jo Cirino, FNP

  • Family Nurse Practitioner
  • Lenoir, NC
  • NPI 1528378122
  NPD

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1174979199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RAWLS SPRINGS LOOP RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027801",
            "telephone_number": "601-582-6069",
            "fax_number": "601-579-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RAWLS SPRINGS LOOP RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027801",
            "telephone_number": "601-582-6069",
            "fax_number": "601-579-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-543-2849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "MS",
            "license": "21276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRX Healthcare Restoration Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Promptcare Home Infusion, LLC
• William S Prosser, DPT
• Proteus Genomics, LLC
• Providence Behavioral Health Services
• Providence Hospice South, LLC
• PRX LLC
• Devon Pryne
• PSCH, LLC
• Psych-Solutions
• James Puckett, M.D.

• Pain Medicine (Psychiatry & Neurology) Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Pain Medicine (Psychiatry & Neurology) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.