Midsouth Spine and Pain Associates PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC

Practice address

3037 Corder Dr
Corinth, MS 38834-6216

Phone

(662) 284-8565

Fax

(662) 594-8366

NPI assigned

Jul 13, 2012

Organization subpart

No

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

Authorized official

Name

Brent Alan Grimes, NP-CNPI 1578561262

Title

Partner

Phone

(662) 284-8565

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Enrollment records 2

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent Alan Grimes, NP-C

  • Nurse Practitioner
  • Corinth, MS
  • NPI 1578561262

  TN

  Medicare reassignment Authorized official
• Anthony Lane Armstrong, M.D.

  • Anesthesiology Physician
  • Corinth, MS
  • NPI 1932180635

  TN

  Medicare reassignment NPD
• April Holley, APRN, FNP-C

  • Family Nurse Practitioner
  • Corinth, MS
  • NPI 1386117042
  Medicare reassignment NPD
• Virginia Miller, CNP

  • Family Nurse Practitioner
  • Corinth, MS
  • NPI 1275295792
  Medicare reassignment NPD
• Jessica Gail Prather, APRN, FNP-C

  • Nurse Practitioner
  • Walnut, MS
  • NPI 1538624580
  Medicare reassignment NPD
• Angel Rodriguez, M.D.

  • Anesthesiology Physician
  • Corinth, MS
  • NPI 1356322051
  Medicare reassignment NPD
• Michael Cody Scarbrough, MD

  • Pain Medicine (Anesthesiology) Physician
  • Corinth, MS
  • NPI 1114345949
  Medicare reassignment NPD
• Casey W Bevis, D.C.

  • Chiropractor
  • Savannah, TN
  • NPI 1417048851
  Medicare reassignment NPD
• Brandi R Henry, FNP

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1831430560

  MS

  Medicare reassignment

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1477808657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1740",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388351740",
            "telephone_number": "662-284-8565",
            "fax_number": "662-594-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 CORDER DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346216",
            "telephone_number": "662-284-8565",
            "fax_number": "662-594-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "662-284-8565",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "687",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1113",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2148",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "29331",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "14758",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "8118957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Melvin, NP-C
• Mid South Retina Associates LLC
• Mid-South Neurology-Sleep Medical Clinic PLLC
• Mid-South Retina Associates, LLC
• Midsouth Spine and Pain Associates PLLC
• Marlie Miles, LMSW
• Peggy Belinda Miller
• Virginia Miller, CNP
• Mississippi Med Supply LLC
• Mississippi Pain Institute Corinth PLLC

• Specialist in Corinth, MS
• Providers in Corinth, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.

Verify at the official NPI Registry.