Advanced Interventional Specialist PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

ADVANCED INTERVENTIONAL SPECIALIST PLLC

Practice address

160 Fountains Blvd Ste C
Madison, MS 39110-6380

Phone

(769) 229-3758

NPI assigned

Feb 27, 2025

Last updated

Jan 20, 2026By 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

Steven Namanny

Title

Coo

Phone

(769) 229-3758

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Timothy Andrew Torres, M.D.

  • Anesthesiology Physician
  • Hattiesburg, MS
  • NPI 1932543816

  Pain Medicine

  NPD
• Douglas Tucker, M.D.

  • Anesthesiology Physician
  • Starkville, MS
  • NPI 1043574445

  Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1194522169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391580266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FOUNTAINS BLVD STE C",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106380",
            "telephone_number": "769-229-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERVENTIONAL SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "NAMANNY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "769-229-3758"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 2083 Therapy, LLC (2083 Therapy of Madison)
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• Active Life Physical Therapy
• Clifford C Adams III, M.D.
• Christy Ainsworth, LCSW
• Connor Hays Ainsworth
• Heston Neal Ainsworth, PHARM.D.,RPH
• Fahad Al-Fadhli
• Anna Katherine Alderman, OTD, OTR/L

• Neurological Surgery Physician in Madison, MS
• Providers in Madison, MS by specialty
• Neurological Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.