Leonel Kevin Vance, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

16855 Issued in MS

Practice address

129 Fountains Blvd
Ste 201
Madison, MS 39110

Phone

(769) 300-0730

Fax

(769) 300-0734

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Pain Management

Education

University of Mississippi School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Pain Center of MississippiGroup PAC ID 5193893014, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

Merit-based Incentive Payment System (MIPS)

Final score

17.58 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

58.61

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22171/brand/2/csg/1/fhir/r4
• Direct secure messaging: leonel.vance.1@33737.direct.athenahealth.com
• Direct secure messaging: l.vance.asc.1@33737.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Pain Center of Mississippi

  • Interventional Pain Medicine Physician
  • Madison, MS
  • NPI 1124275565
  Medicare reassignment Care Compare group NPD Authorized official
• Comprehensive Pain Center for Surgery

  dba Fountains Specialty Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Madison, MS
  • NPI 1487094058
  NPD Authorized official
• Jackson Anesthesia Associates PA

  • Anesthesiology Physician
  • Jackson, MS
  • NPI 1780737577
  NPD (past)
• Jackson Pain Center PA

  • Pain Medicine (Anesthesiology) Physician
  • Jackson, MS
  • NPI 1962823344
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mississippi Baptist Medical Center, Inc.

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1710909585
  Care Compare affiliation

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1669507943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 FOUNTAINS BLVD",
            "address_2": "STE 201",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "769-300-0730",
            "fax_number": "769-300-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FOUNTAINS BLVD",
            "address_2": "STE 201",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "769-300-0730",
            "fax_number": "769-300-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "LEONEL",
        "middle_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MS",
            "license": "16855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389791",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Estefania Estrada Tutwiler, MS, RDN, LDN
• University Physicians. PLLC
• Matthew Upchurch, PHARMD
• Uptown Pharmacy
• Vamps on Wheels LLC
• Elizabeth C Vandevender, SLP
• Variation of Speech
• Hunter Vaughn, NP
• Paul A Veregge, MD
• Vitality Counseling

• Interventional Pain Medicine Physician in Madison, MS
• Providers in Madison, MS by specialty
• Interventional Pain Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.