Organization Active NPI

Flowood Pain Center, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Flowood, MS
National Provider Identifier
1356848014
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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

Updated by the provider on Nov 19, 2025

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180802001444 MS Part B Supplier - Clinic/Group Practice 6901154293 Receives reassigned benefits from 25 practitioners
Practice locations: Vicksburg, MS; Southaven, MS; Kosciusko, MS; Jackson, MS; Hattiesburg, MS; Flowood, MS; Hazlehurst, MS; Byram, MS
O20250404000453 TN Part B Supplier - Clinic/Group Practice 6901154293 Receives reassigned benefits from 2 practitioners
Practice locations: Memphis, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D1042667Flowood Pain Center, LLC120 Stone Creek Blvd Ste 500, Flowood, MS 39232AccreditationSep 24, 2027

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

View all 27

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

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.

Verify at the official NPI Registry.