Active NPI
Ms Pain & Migraine
- Pain Medicine Physician
- Southaven, MS
National Provider Identifier
1346098035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- MS PAIN & MIGRAINE
- Practice address
- 3495 Cobblestone Blvd
Southaven, MS 38672 - Phone
- (601) 582-6069
- NPI assigned
- May 8, 2024
- 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
- Jory Scott
- Title
- Owner
- Phone
- (601) 270-4313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
3495 Cobblestone Blvd
Southaven, MS 38672
Mailing address
4 Willow PT Ste 1
Hattiesburg, MS 39402-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Hattiesburg, MS
- NPI 1689270142
O20210329000361
National Provider Directory
National Provider Directory- Tax ID family
- Ms Pain Migraine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Hattiesburg, MS
- NPI 1689270142
Locations
3495 Cobblestone Blvd N
Southaven, MS 38672
Phone (601) 582-6069
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Hattiesburg, MS
- NPI 1629264544
-
- Family Nurse Practitioner
- Hattiesburg, MS
- NPI 1366977068
-
- Geriatric Medicine (Family Medicine) Physician
- Hattiesburg, MS
- NPI 1609187152
-
- Family Nurse Practitioner
- Hattiesburg, MS
- NPI 1336767748
-
- Family Nurse Practitioner
- Hattiesburg, MS
- NPI 1760865216
-
- Sports Medicine (Family Medicine) Physician
- Hattiesburg, MS
- NPI 1265851646
-
- Specialist
- Hattiesburg, MS
- NPI 1316048911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715126400000",
"number": "1346098035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WILLOW PT STE 1",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 COBBLESTONE BLVD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "38672",
"telephone_number": "601-582-6069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MS PAIN & MIGRAINE",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "JORY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-270-4313"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.