Jeffrey T Summers, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

ME136228 Issued in FL

Practice address

2470 Flowood Drive
Flowood, MS 39232

Phone

(877) 554-4257

Fax

(601) 983-2845

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Jeffrey T Henneberger Former name

Medicare fee-for-service enrollment

Enrolled in MS, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Pain ManagementAlso: Anesthesiology

Education

University of Mississippi School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newsouth Neurospine, LLCGroup PAC ID 2163591579, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Newsouth Neurospine, LLC.

  • Neurological Surgery Physician
  • Flowood, MS
  • NPI 1326222548

  Pain Medicine

  Medicare reassignment Care Compare group NPD
• Regenerative Medicine and Pain Management Physicians PLLC

  • Interventional Pain Medicine Physician
  • Gulf Breeze, FL
  • NPI 1245764554
  Medicare reassignment NPD
• Dr. Jeff Summers PA

  • Interventional Pain Medicine Physician
  • Jackson, MS
  • NPI 1003025412
  NPD (past) Authorized official
• Newsouth Neurospine, LLC

  • Pain Clinic/Center
  • Flowood, MS
  • NPI 1770743031
  NPD
• Newsouth Neurospine, LLC.

  • Neurological Surgery Physician
  • Kosciusko, MS
  • NPI 1144534900

  Pain Medicine

  NPD

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1336257500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "877-554-4257",
            "fax_number": "601-983-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "877-554-4257",
            "fax_number": "601-983-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "JEFFREY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MS",
            "license": "13314",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MS",
            "license": "13314",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME136228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050081213",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00113488",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "HENNEBERGER",
            "middle_name": "T",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rhonda Kaye Sullivan-Ford, M.D.
• Amanda Sullivan, CFNP
• Clementine Yalonda Sullivan
• Suzanne R Sullivan, M.D.
• Suman K. Das MD PA
• William J Sutton
• Michelle N. Taheri, M.D.
• Tamara Coleman Counseling LLC
• Kathleen Michele Tate, RN
• Katie Williamson Taunton, DPT

• Pain Medicine Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Pain Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.