NPIMap

Organization Active NPI

Och Center for Pain Management

  • Pain Clinic/Center
  • Starkville, MS
National Provider Identifier
1902965866
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
11-269 Issued in MS
Legal business name
OCH CENTER FOR PAIN MANAGEMENT
Practice address
107 Doctors Park
Starkville, MS 39759-2174
Phone
(662) 615-3751
Fax
(662) 615-3754
NPI assigned
Dec 7, 2006
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
OKTIBBEHA COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Mr. James H. Jackson Jr.
Title
Ceo
Phone
(662) 615-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 11-269 MS Primary

Addresses

Primary practice location

107 Doctors Park
Starkville, MS 39759-2174

Mailing address

PO Box 1326
Starkville, MS 39760-1326
Phone (662) 615-2830

Other identifiers 1

IdentifierTypeStateIssuer
04825568MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070327000267 MS Part B Supplier - Clinic/Group Practice 9739283060 Receives reassigned benefits from 5 practitioners
Practice locations: Starkville, MS

National Provider Directory

National Provider Directory
Part of
Oktibbeha County Hospit

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1902965866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397601326",
            "telephone_number": "662-615-2830",
            "fax_number": "662-615-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DOCTORS PARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592174",
            "telephone_number": "662-615-3751",
            "fax_number": "662-615-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCH CENTER FOR PAIN MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKTIBBEHA COUNTY HOSPITAL",
        "enumeration_date": "2006-12-07",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-615-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MS",
            "license": "11-269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04825568",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.

Verify at the official NPI Registry.