Active NPI
Pain Clinic
- Pain Medicine (Anesthesiology) Physician
- Columbus, MS
National Provider Identifier
1215198643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 11125
- Legal business name
- PAIN CLINIC
- Practice address
- 294 Chubby Dr
Suite 2
Columbus, MS 39705-1358 - Phone
- (662) 327-6820
- NPI assigned
- Jun 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael A White, MD
- Title
- President
- Phone
- (423) 903-6796
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 11125 | MS | Primary |
Addresses
Primary practice location
294 Chubby Dr
Suite 2
Columbus, MS 39705-1358
Mailing address
765 Tasso LN NE
Cleveland, TN 37312-4559
Phone (423) 903-6796
National Provider Directory
National Provider DirectoryLocations
3499 Bluecutt Rd
Ste 1
Columbus, MS 39705
Phone (662) 244-8393
294 Chubby Dr
#2
Columbus, MS 39705
Phone (662) 244-8393
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Columbus, MS
- NPI 1730181520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1215198643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 TASSO LN NE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373124559",
"telephone_number": "423-903-6796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 CHUBBY DR",
"address_2": "SUITE 2",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397051358",
"telephone_number": "662-327-6820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-903-6796",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "MS",
"license": "11125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.