Southern Pain and Regenerative Medicine PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD20801 Issued in TN

Legal business name

SOUTHERN PAIN AND REGENERATIVE MEDICINE PC

Practice address

8990 Germantown Rd Ste B
Olive Branch, MS 38654-8532

Phone

(662) 775-0189

NPI assigned

Feb 6, 2018

Last updated

Jan 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Hodgkiss, MDNPI 1568494631

Title

Owner

Phone

(901) 350-0678

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, AR, MS, KY4 enrollments

Enrollment records 4

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

Practitioners 20

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.

• Thomas D Hodgkiss, MD

  • Diagnostic Radiology Physician
  • Memphis, TN
  • NPI 1568494631

  AR, KY, MS

  Medicare reassignment Care Compare group NPD Authorized official
• Deanna Beasley

  • Family Nurse Practitioner
  • Union City, TN
  • NPI 1902687692
  Medicare reassignment Care Compare group NPD
• Howard Bromley, MD

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1760448898

  AR

  Medicare reassignment Care Compare group NPD
• Kimberly Kaye Crowell, FNP-C

  • Family Nurse Practitioner
  • Union City, TN
  • NPI 1164744090
  Medicare reassignment Care Compare group NPD
• June Schuehrer McHenry, LCSW

  • Clinical Social Worker
  • Franklin, TN
  • NPI 1255415295
  Medicare reassignment Care Compare group NPD
• Scott Neill Osborne, M.D.

  • Vascular & Interventional Radiology Physician
  • Union City, TN
  • NPI 1659698942

  KY, MS

  Medicare reassignment Care Compare group NPD
• Leslie A Ary, ACNP

  • Acute Care Nurse Practitioner
  • Union City, TN
  • NPI 1558697540
  Medicare reassignment NPD
• Ashley Danielle Gross

  • Family Medicine Physician
  • Blytheville, AR
  • NPI 1881269660
  Medicare reassignment NPD
• Andrew Hayward Lundberg, M.D.

  • Vascular Surgery Physician
  • Paris, TN
  • NPI 1770509705
  Medicare reassignment NPD
• Ashley O Pennington, FNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1629018981
  Medicare reassignment NPD
• Elizabeth A Riddle, CFNP

  • Family Nurse Practitioner
  • Dresden, TN
  • NPI 1720075633
  Medicare reassignment NPD
• John Edwin Scallions, APRN

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1487951042

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1841799707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8990 GERMANTOWN RD STE B",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548532",
            "telephone_number": "901-350-0678",
            "fax_number": "901-350-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 GERMANTOWN RD STE B",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548532",
            "telephone_number": "662-775-0189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 E Reelfoot Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382616049",
            "country_code": "US",
            "telephone_number": "731-213-2720",
            "fax_number": "901-350-0677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5683 S Rex Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193821",
            "country_code": "US",
            "telephone_number": "901-350-0678",
            "fax_number": "901-350-0677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3922 E Main St",
            "address_purpose": "LOCATION",
            "city": "Blytheville",
            "state": "AR",
            "postal_code": "723156813",
            "country_code": "US",
            "telephone_number": "870-228-9780",
            "fax_number": "870-228-9781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN PAIN AND REGENERATIVE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "HODGKISS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-350-0678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "MD20801",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenyecta D Smith, P-LPC
• Lisa Ann Smith, LCSW
• Marsheka Varcha Smith, RN
• Mary Elizabeth Smith, P-LPC, LAC
• Robin Powe Smith, PT,DPT
• Southern Vascular and Pain Surgery Center Olive Branch LLC
• Southland Wellness PLLC
• Spartan Orthopaedics, LLC (Champion Orthopaedics, LLC)
• Marecia Mreana Spearman
• Patrick L Spears

• Interventional Pain Medicine Physician in Olive Branch, MS
• Providers in Olive Branch, 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 Jan 12, 2026; 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.