Comprehensive Pain Center for Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COMPREHENSIVE PAIN CENTER FOR SURGERY

Practice address

129 Fountains Blvd.
Madison, MS 39110

Phone

(769) 300-0720

Fax

(769) 300-0721

NPI assigned

Jun 27, 2013

Organization subpart

No

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

Authorized official

Name

Leonel K Vance, M.D.NPI 1669507943

Title

Medical Director

Phone

(769) 300-0720

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fountains Specialty Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Ambulatory surgical center certification: CCN 25C0001084

Legal name

COMPREHENSIVE PAIN CENTER FOR SURGERY

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 15, 2014

Last certification

Dec 15, 2020

Ownership / control type

Proprietary

Facility address

129 Fountains Blvd, Suite 301
Madison, MS 39110

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22171/brand/2/csg/1/fhir/r4

Practitioners 2

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

• Leonel Kevin Vance, MD

  • Interventional Pain Medicine Physician
  • Madison, MS
  • NPI 1669507943
  NPD Authorized official
• Madelyn Kelly Craig, MD

  • Interventional Pain Medicine Physician
  • Madison, MS
  • NPI 1588169296
  NPD (past)

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1487094058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 FOUNTAINS BLVD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "769-300-0720",
            "fax_number": "769-300-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FOUNTAINS BLVD.",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "769-300-0720",
            "fax_number": "769-300-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN CENTER FOR SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "769-300-0720",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525725",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountains Specialty Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keiaria Coleman, NP
• Kelli Colley, OTR/L
• Joseph W Collins II, DMD
• Joseph William Collins III, D.M.D.
• Compassionate Care Home Health Service
• Comprehensive Pain Center of Mississippi
• Seth Alan Compton, M.D.
• Connect 4 Transportation, LLC
• Sage Conner, LCSW
• Celeste Lois Cook-Glenn, M.D.

• Ambulatory Surgical Clinic/Center in Madison, MS
• Providers in Madison, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.