NPIMap

Organization Active NPI

Precise Clinical Neuroscience Specialists

Doing business as Right Track Medical Group

  • Psychiatry Physician
  • Flowood, MS
National Provider Identifier
1770717449
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PRECISE CLINICAL NEUROSCIENCE SPECIALISTS
Doing business as
Precise Clinical Neuroscience Specialists
Right Track Medical Group
Practice address
3531 Lakeland Dr Ste 1060
Flowood, MS 39232-8016
Phone
(601) 420-7010
Fax
(601) 402-5811
NPI assigned
May 11, 2009
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Kimberly Glaveskas
Title
Credentialing Supervisor
Phone
(214) 550-7536

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 17834 MS
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

3531 Lakeland Dr Ste 1060
Flowood, MS 39232-8016

Mailing address

PO Box 306603
Nashville, TN 37230-6603
Phone (601) 420-7010

Other practice location 1

200 Highway 12 E
Starkville, MS 39759-3766
Phone (662) 498-1900

Other practice location 2

1641 Popps Ferry Rd Ste A3
Biloxi, MS 39532-2226
Phone (229) 232-0890

Other practice location 3

9035 E Sandidge Rd Ste 201
Olive Branch, MS 38654-3563
Phone (662) 408-4631

Other practice location 4

230 Trace Colony Park Dr Ste 4
Ridgeland, MS 39157-8851
Phone (601) 420-5810

Other practice location 5

1203 Medical Park Dr
Oxford, MS 38655-5327
Phone (662) 234-7601

Other practice location 6

1111 N Frontage Rd
Vicksburg, MS 39180-5102
Phone (601) 420-5810

Other practice location 7

117 Fountains Blvd Ste 1
Madison, MS 39110-6317
Phone (601) 499-1105

Other practice location 8

101 Aldersgate Cir
Hattiesburg, MS 39402-1301
Phone (601) 909-4080

Other practice location 9

4428 S Eason Blvd Ste 1
Tupelo, MS 38801-6506
Phone (662) 260-4533

Other practice location 10

104 Southpointe Dr
Byram, MS 39272-5565
Phone (601) 420-5810

Other names 2

  • Precise Clinical Neuroscience Specialists Doing business as
  • Right Track Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100202000870 MS Part B Supplier - Clinic/Group Practice 4880737626 Receives reassigned benefits from 53 practitioners
Practice locations: Vicksburg, MS; Tupelo, MS; Flowood, MS; Starkville, MS; Ridgeland, MS; Oxford, MS; Madison, MS; Hattiesburg, MS…

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2230508Precise Clinical Neuroscience Specialists1111 N Frontage Road, Suite 36, Vicksburg, MS 39180Certificate of waiverJul 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Precise Clinical Neuroscience Specialists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1641 Popps Ferry Rd
Ste A3
Biloxi, MS 39532
Phone (228) 232-0890

544 Keyway Dr
Ste A
Flowood, MS 39232
Phone (601) 487-0480

797 Liberty Rd
Flowood, MS 39232
Phone (601) 420-9322

117 Fountains Blvd
Ste 1
Madison, MS 39110
Phone (601) 499-1105

2514 67th Avenue Loop
Ste 106
Meridian, MS 39307
Phone (601) 282-5315

230 Trace Colony Park Dr
Ste 4
Ridgeland, MS 39157

100 Starr Ave
Ste A
Starkville, MS 39759
Phone (662) 268-8059

4428 S Eason Blvd
Tupelo, MS 38801
Phone (601) 844-5080

1111 N Frontage Rd
Vicksburg, MS 39180
Phone (601) 619-3800

1111 N Frontage Rd
Ste 36
Vicksburg, MS 39180

901 Jackson St
Vicksburg, MS 39183

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1770717449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306603",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306603",
            "telephone_number": "601-420-7010",
            "fax_number": "601-420-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 LAKELAND DR STE 1060",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328016",
            "telephone_number": "601-420-7010",
            "fax_number": "601-402-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Highway 12 E",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397593766",
            "country_code": "US",
            "telephone_number": "662-498-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1641 Popps Ferry Rd Ste A3",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395322226",
            "country_code": "US",
            "telephone_number": "229-232-0890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9035 E Sandidge Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386543563",
            "country_code": "US",
            "telephone_number": "662-408-4631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Trace Colony Park Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391578851",
            "country_code": "US",
            "telephone_number": "601-420-5810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555327",
            "country_code": "US",
            "telephone_number": "662-234-7601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 N Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391805102",
            "country_code": "US",
            "telephone_number": "601-420-5810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Fountains Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106317",
            "country_code": "US",
            "telephone_number": "601-499-1105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Aldersgate Cir",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394021301",
            "country_code": "US",
            "telephone_number": "601-909-4080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4428 S Eason Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016506",
            "country_code": "US",
            "telephone_number": "662-260-4533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Southpointe Dr",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392725565",
            "country_code": "US",
            "telephone_number": "601-420-5810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISE CLINICAL NEUROSCIENCE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "GLAVESKAS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "214-550-7536"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "17834",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precise Clinical Neuroscience Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Right Track Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.