Active NPI
Brookhaven Anesthesia & Pain Management
- Pain Medicine Physician
- Brookhaven, MS
National Provider Identifier
1689659864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- BROOKHAVEN ANESTHESIA & PAIN MANAGEMENT
- Practice address
- 1024 D a Biglane Dr
Brookhaven, MS 39601-2331 - Phone
- (660) 826-5960
- NPI assigned
- Dec 12, 2005
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Robin D Nations, MD
- Title
- Owner
- Phone
- (660) 826-5960
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Brookhaven, MS
- NPI 1326153867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060503000513 | MS | Part B Supplier - Clinic/Group Practice | 8123038262 |
Receives reassigned benefits from 7 practitioners Practice locations: Brookhaven, MS |
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
NPPES NPI RegistryPrimary practice location
1024 D a Biglane Dr
Brookhaven, MS 39601-2331
Mailing address
PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF0416 | Other | MS | RR MEDICARE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2020.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582588800000",
"number": "1689659864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1547",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653021547",
"telephone_number": "660-826-5960",
"fax_number": "660-826-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 D A BIGLANE DR",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012331",
"telephone_number": "660-826-5960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKHAVEN ANESTHESIA & PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-12",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A",
"authorized_official_last_name": "NATIONS",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "660-826-5960",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DF0416",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, MS
- Yolanda Shay Bridges, PMHMP
- Bridging Community With Healthcare, LLC
- Britt Medical Group LLC
- Blaine Cooper Britt, M.D.
- Robert B Britt, M.D
- Brookhaven Children'S Clinic
- Brookhaven Crisis Center
- Brookhaven Diabetes and Primary Care Clinic
- Brookhaven Ear, Nose & Throat PA
- Brookhaven Internal Medicine, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.