Active NPI
Flowood Pain Center, LLC
- Pain Medicine (Anesthesiology) Physician
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- FLOWOOD PAIN CENTER, LLC
- Practice address
- 120 Stone Creek Blvd Ste 500
Flowood, MS 39232-8210 - Phone
- (601) 420-2040
- Fax
- (601) 420-2356
- NPI assigned
- Apr 10, 2018
- Last updated
- Nov 19, 2025
- 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
- Teresa Green, CPC
- Title
- Revenue Manager
- Phone
- (855) 343-5763
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X | MS |
Addresses
Primary practice location
120 Stone Creek Blvd Ste 500
Flowood, MS 39232-8210
Mailing address
PO Box 649113
Dallas, TX 75264-9113
Phone (601) 339-2065
Other practice location 1
2080 S Frontage Rd Ste 112
Vicksburg, MS 39180-5882
Phone (601) 420-2040
Other practice location 2
114 Byram Business Center Dr
Byram, MS 39272-9636
Phone (601) 420-2040
Other practice location 3
220 Highway 12 W
Kosciusko, MS 39090-3208
Phone (601) 420-2040
Other practice location 4
27190 Highway 28 Ste 105
Hazlehurst, MS 39083-2209
Phone (601) 420-2040
Other practice location 5
1100 Highway 16 E
Carthage, MS 39051-4222
Phone (601) 267-1100
Other practice location 6
970 Lakeland Dr Ste 45
Jackson, MS 39216-4640
Phone (601) 420-2040
Other practice location 7
7900 Airways Blvd Ste 2
Southaven, MS 38671-4113
Phone (601) 420-2040
Other practice location 8
7100 U S Highway 98 Ste 210
Hattiesburg, MS 39402-8557
Phone (601) 420-2040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D1042667 | Flowood Pain Center, LLC | Accreditation | Sep 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
114 Byram Business Center Dr
Byram, MS 39272
Phone (601) 376-9960
7100 U S Highway 98
Ste 210
Hattiesburg, MS 39402
Phone (601) 545-7021
27190 Highway 28
Ste 105
Hazlehurst, MS 39083
1190 N State St
#304
Jackson, MS 39202
2080 S Frontage Rd
Ste 112
Vicksburg, MS 39180
Phone (601) 883-6303
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEHEBD
Practitioners & affiliated clinicians
Practitioners 31
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.
-
- Family Nurse Practitioner
- Vicksburg, MS
- NPI 1285511394
-
- Family Nurse Practitioner
- Hattiesburg, MS
- NPI 1972460152
-
- Pain Medicine (Anesthesiology) Physician
- Jackson, MS
- NPI 1417343559
-
- Family Nurse Practitioner
- Meridian, MS
- NPI 1376814533
-
- Pain Medicine (Anesthesiology) Physician
- Meridian, MS
- NPI 1922092881
-
- Family Nurse Practitioner
- Flowood, MS
- NPI 1437042157
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1720289424
-
- Acute Care Nurse Practitioner
- Flowood, MS
- NPI 1790487718
-
- Family Nurse Practitioner
- Southaven, MS
- NPI 1922310531
-
- Physical Medicine & Rehabilitation Physician
- Hattiesburg, MS
- NPI 1972633923
Interventional Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763510400000",
"number": "1356848014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649113",
"city": "DALLAS",
"state": "TX",
"postal_code": "752649113",
"telephone_number": "601-339-2065",
"fax_number": "855-343-5763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 STONE CREEK BLVD STE 500",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328210",
"telephone_number": "601-420-2040",
"fax_number": "601-420-2356"
}
],
"practiceLocations": [
{
"address_1": "2080 S Frontage Rd Ste 112",
"address_purpose": "LOCATION",
"city": "Vicksburg",
"state": "MS",
"postal_code": "391805882",
"country_code": "US",
"telephone_number": "601-420-2040",
"fax_number": "601-420-2356",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "114 Byram Business Center Dr",
"address_purpose": "LOCATION",
"city": "Byram",
"state": "MS",
"postal_code": "392729636",
"country_code": "US",
"telephone_number": "601-420-2040",
"fax_number": "601-420-2356",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 Highway 12 W",
"address_purpose": "LOCATION",
"city": "Kosciusko",
"state": "MS",
"postal_code": "390903208",
"country_code": "US",
"telephone_number": "601-420-2040",
"fax_number": "601-420-2356",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27190 Highway 28 Ste 105",
"address_purpose": "LOCATION",
"city": "Hazlehurst",
"state": "MS",
"postal_code": "390832209",
"country_code": "US",
"telephone_number": "601-420-2040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Highway 16 E",
"address_purpose": "LOCATION",
"city": "Carthage",
"state": "MS",
"postal_code": "390514222",
"country_code": "US",
"telephone_number": "601-267-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "970 Lakeland Dr Ste 45",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392164640",
"country_code": "US",
"telephone_number": "601-420-2040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 Airways Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386714113",
"country_code": "US",
"telephone_number": "601-420-2040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7100 U S Highway 98 Ste 210",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394028557",
"country_code": "US",
"telephone_number": "601-420-2040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FLOWOOD PAIN CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-10",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "REVENUE MANAGER",
"authorized_official_telephone_number": "855-343-5763",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MS",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
- Flowood Drug Company, LLC (Flowood Drug Company)
- Flowood Family Medicine, PLLC (Medical Wellness and Nutrition Center of MS)
- Flowood HB Medical Services LLC (Merit Health River Oaks)
- Flowood Medical Management LLC (Evexia Vein Center)
- Flowood Mississippi Imaging LLC
- Flowood River Oaks Hma Medical Group, LLC (Center of Infectious Disease Excellence)
- Flowood River Oaks Hma Medical Group, LLC (CarePlus Internal Medicine)
- Flowood River Oaks Hma Medical Group, LLC (Transformation at River Oaks)
- Flowood River Oaks Hma Medical Group, LLC (Reservoir Family Medical Clinic)
- Flowood River Oaks Hma Medical Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.