1. Home
  2. Directory
  3. Mississippi
  4. Southaven
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

PAIN TREATMENT CENTERS OF AMERICA, PLLC
NPI 1003629767
Durable Medical Equipment & Medical Supplies in Southaven, MS

Active since January 28, 2025CLIA Certified · 4 labs
7620 CLARINGTON CV STE B, SOUTHAVEN, MS 38671(844) 215-0731(210) 526-3087 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pain Treatment Centers Of America, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAIN TREATMENT CENTERS OF AMERICA, PLLC (NPI 1003629767) is a healthcare organization registered as a durable medical equipment & medical supplies in Southaven, Mississippi and active in the NPI registry since January 2025. The organization holds 4 active CLIA laboratory certificates and lists Lisa Kent, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1003629767
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePAIN TREATMENT CENTERS OF AMERICA, PLLC
Location Address7620 CLARINGTON CV STE BSouthaven, MS 38671-5648
Mailing Address108 N Shackleford RdLittle Rock, AR 72211-2840 · (501) 900-8770 · Fax (210) 526-3087
Phone(844) 215-0731
Fax(210) 526-3087
Organization SubpartNo
Authorized OfficialLisa KentCredentialing Director · (501) 900-8770
Enumeration DateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1003629767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
7620 CLARINGTON CV STE B, Southaven, MS 38671
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 04D2275419

Pain Treatment Centers Of America · Little Rock, AR
Active · expires Jan 17, 2028
CLIA Number04D2275419
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorDr. Meraj N. Siddiqui
Laboratory Phone(870) 219-8790
Laboratory LocationPain Treatment Centers Of America108 North Shackleford Rd, Little Rock, AR 72211
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 04D2106685

Pain Treatment Centers Of America · Little Rock, AR
Active · expires Feb 7, 2027
CLIA Number04D2106685
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorDr. Kevin Goudy
Laboratory Phone(501) 246-3480
Laboratory LocationPain Treatment Centers Of America108 N Shackleford Rd, Little Rock, AR 72211
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 04D2319870

Pain Treatment Centers Of Arkansas (ptcoa) · Little Rock, AR
Active · expires Mar 9, 2027
CLIA Number04D2319870
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorDr. Kevin S. Goudy
Laboratory Phone(501) 256-1978
Laboratory LocationPain Treatment Centers Of Arkansas (ptcoa)108 N Shackleford Rd, Little Rock, AR 72211
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 04D2165979

Pain Treatment Centers Of America, Texarkana Clini · Texarkana, TX
Active · expires May 8, 2027
CLIA Number04D2165979
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorDr. Meraj Siddiqui
Laboratory Phone(844) 215-0731
Laboratory LocationPain Treatment Centers Of America, Texarkana Clini5950 Summerhill Road Suite A, Texarkana, TX 75503
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pain Treatment Centers Of America, PLLC's NPI number?

The NPI number for Pain Treatment Centers Of America, PLLC is 1003629767. It was assigned to this organization in the NPPES registry on January 28, 2025.

Where is Pain Treatment Centers Of America, PLLC located?

Pain Treatment Centers Of America, PLLC is located at 7620 Clarington Cv Ste B, Southaven, MS 38671. The listed phone number is (844) 215-0731.

What is Pain Treatment Centers Of America, PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Pain Treatment Centers Of America, PLLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pain Treatment Centers Of America, PLLC was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.