MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC
NPI 1013464882
Specialist in Corinth, MS

NPI Status: Active since September 08, 2016

Contact Information

3037 CORDER DR
CORINTH, MS
ZIP 38834
Phone: (662) 284-8565
Fax: (662) 594-8366

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  • Organization
  • Specialist
  • CLIA Number: 25D2045941
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-29-2027

About MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC

This page provides the complete NPI Profile along with additional information for Midsouth Spine And Pain Associates Pllc, a provider established in Corinth, Mississippi operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1013464882 assigned on September 2016. The practitioner's primary taxonomy code is 174400000X with license number 14758 (MS). The provider is registered as an organization and their NPI record was last updated 3 years ago. Midsouth Spine And Pain Associates Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Brent A Grimes Np-c (Np-c/partner)

NPI
1013464882
Provider Name
MIDSOUTH SPINE AND PAIN ASSOCIATES PLLC
Entity Type
Organization
Location Address
3037 CORDER DR CORINTH, MS 38834
Location Phone
(662) 284-8565
Location Fax
(662) 594-8366
Mailing Address
PO BOX 1740 CORINTH, MS 38835
Mailing Phone
(662) 284-8565
Mailing Fax
(662) 594-8366
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2016
Last Update Date
06-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
14758
License State
MS
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LA2100XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Acute Care

701122 (MS)
2363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

16792 (MS)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRENT A GRIMES NP-C

Authorized Official Title
NP-C/PARTNER
Authorized Official Phone
(662) 284-8565

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D2045941
Facility Type
Physician Office
Certificate Effective Date
September 30, 2025
Certificate Expiration Date
September 29, 2027
Laboratory Director
DR. ANTHONY L. ARMSTRONG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Midsouth Spine And Pain Associates Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013464882, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 8 + 6 + 8 + 8 + 1 + 6 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1013464882.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
3037 CORDER DR
CORINTH, MS 38834
Specialist
3037 CORDER DR
CORINTH, MS 38834
Nurse Practitioner
3037 CORDER DR
CORINTH, MS 38834
Nurse Anesthetist, Certified Registered
3037 CORDER DR
CORINTH, MS 38834
Anesthesiology (Pain Medicine)
3037 CORDER DR
CORINTH, MS 38834
Nurse Anesthetist, Certified Registered
3037 CORDER DR
CORINTH, MS 38834
Pain Medicine (Pain Medicine)
3037 CORDER DR
CORINTH, MS 38834

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013464882, enumerated as an "organization" on September 08, 2016.

The provider is located at 3037 CORDER DR CORINTH, MS 38834 and the phone number is (662) 284-8565.

Specialist with taxonomy code 174400000X.