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
- 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
1100 Highway 16 E
Carthage, MS 39051-4222
Phone (601) 267-1100
Other practice location 4
220 Highway 12 W
Kosciusko, MS 39090-3208
Phone (601) 420-2040
Other practice location 5
27190 Highway 28 Ste 105
Hazlehurst, MS 39083-2209
Phone (601) 420-2040
Other practice location 6
970 Lakeland Dr Ste 45
Jackson, MS 39216-4640
Phone (601) 420-2040
Other practice location 7
7100 U S Highway 98 Ste 210
Hattiesburg, MS 39402-8557
Phone (601) 420-2040
Other practice location 8
7900 Airways Blvd Ste 2
Southaven, MS 38671-4113
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
4510 Lakeland Dr
Flowood, MS 39232
Phone (601) 354-4488
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
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEHEBD
Practitioners & affiliated clinicians
Practitioners 27
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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": "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": "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": "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": "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"
},
{
"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"
}
],
"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 Family Medicine, PLLC
- Flowood HB Medical Services LLC
- Flowood Medical Management LLC
- Flowood Mississippi Imaging LLC
- Flowood River Oaks Hma Medical Group, LLC
- Flowood River Oaks Hma Medical Group, LLC
- Flowood River Oaks Hma Medical Group, LLC
- Flowood River Oaks Hma Medical Group, LLC
- 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.