Individual provider Active NPI

Ramunda Cooper Livingston, LCSW

  • Clinical Social Worker
  • Biloxi, MS
National Provider Identifier
1326780289
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C8189 Issued in MS
Practice address
180B Debuys Rd
Biloxi, MS 39531-4404
Phone
(228) 273-4096
Fax
(228) 594-1765
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C8189 MS Primary

Addresses

Primary practice location

180B Debuys Rd
Biloxi, MS 39531-4404

Mailing address

PO Box 4594
Biloxi, MS 39535-4594
Phone (228) 806-7030

Other practice location 1

3003 Shortcut Rd
Pascagoula, MS 39567-1810
Phone (228) 273-4096

Other identifiers 1

IdentifierTypeStateIssuer
002484078MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@painstopspineclinic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220503001806 MS Practitioner - Clinical Social Worker 5395132724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Painstop Spine Clinic, LLCGroup PAC ID 9739355124, 9 clinicians

Practice addresses (Care Compare)

180 B Debuys Rd
Biloxi, MS 39531-4404
Phone (228) 273-4096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Painstop Spine Clinic, LLC CurrentSince Apr 26, 2022 Accepting new patients
Painstop Spine Clinic, LLC CurrentSince Apr 26, 2022 Accepting new patients

Locations

180B Debuys Rd
Biloxi, MS 39531
Phone (228) 273-4096

3003 Shortcut Rd
Pascagoula, MS 39567
Phone (228) 273-4096

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1326780289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4594",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395354594",
            "telephone_number": "228-806-7030",
            "fax_number": "228-594-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180B DEBUYS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314404",
            "telephone_number": "228-273-4096",
            "fax_number": "228-594-1765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Shortcut Rd",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395671810",
            "country_code": "US",
            "telephone_number": "228-273-4096",
            "fax_number": "228-594-1765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "RAMUNDA",
        "middle_name": "COOPER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002484078",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@painstopspineclinic.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all",
            "address_1": "180B Debuys Rd",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395314404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.