Neuromodulation Specialists LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

11988 Issued in MS

Legal business name

NEUROMODULATION SPECIALISTS LLC

Practice address

4105 Hospital St # 112C
Pascagoula, MS 39581-5312

Phone

(228) 627-5192

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Thomas L Yearwood, MD

Title

Owner

Phone

(228) 627-5192

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1679096192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395681078",
            "telephone_number": "228-627-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 HOSPITAL ST # 112C",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815312",
            "telephone_number": "228-627-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMODULATION SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "YEARWOOD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-627-5192",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MS",
            "license": "11988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Myers
• Brenda Nathan, MASSAGE THERAPIST
• Jennifer Susanne Neher, LCSW
• Neurology Associates of Ms
• Neurology Associates of Ms PLLC (Seaside Physical Therapy)
• Brittney Huong Nguyen, PHARMD
• Diana Nguyen, RPH
• Ha Bich Nguyen, DDS
• Vincent Nguyen
• Ericka Delania Nicholson

• Pain Clinic/Center in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Pain Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.