THE PAIN CLINIC OF MISSISSIPPI, PLLC
NPI 1063786036
Nurse Practitioner - Family in Jackson, MS

NPI Status: Active since March 08, 2012

Contact Information

5903 RIDGEWOOD RD
SUITE 440
JACKSON, MS
ZIP 39211
Phone: (601) 899-3989
Fax: (601) 899-3504

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  • Organization
  • Nurse Practitioner
  • Family

About THE PAIN CLINIC OF MISSISSIPPI, PLLC

This page provides the complete NPI Profile along with additional information for The Pain Clinic Of Mississippi, Pllc, a provider established in Jackson, Mississippi operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1063786036 assigned on March 2012. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The Pain Clinic Of Mississippi, 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 Dr. Duane Williamson M.d. (President)

NPI
1063786036
Provider Name
THE PAIN CLINIC OF MISSISSIPPI, PLLC
Entity Type
Organization
Location Address
5903 RIDGEWOOD RD SUITE 440 JACKSON, MS 39211
Location Phone
(601) 899-3989
Location Fax
(601) 899-3504
Mailing Address
PO BOX 235019 MONTGOMERY, AL 36123
Mailing Phone
(800) 232-5703
Mailing Fax
(601) 899-3504
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2012
Last Update Date
03-08-2012
Code Navigator

A nurse practitioner (NP) like The Pain Clinic Of Mississippi, Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

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)
1208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

 

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

DR. DUANE WILLIAMSON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(601) 899-3989

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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 1063786036, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 6 → 12 → 3 7 → 14 → 5 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 1 + 4 + 8 + 1 + 2 + 0 + 6 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1063786036.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
5903 RIDGEWOOD RD, STE 310
JACKSON, MS 39211
Internal Medicine (Nephrology)
5903 RIDGEWOOD RD, SUITE 340
JACKSON, MS 39211
Chiropractor
5903 RIDGEWOOD RD, SUITE 103
JACKSON, MS 39211
Chiropractor
5903 RIDGEWOOD RD, SUITE 103
JACKSON, MS 39211
Internal Medicine (Nephrology)
5903 RIDGEWOOD RD, STE 340
JACKSON, MS 39211
Internal Medicine (Nephrology)
5903 RIDGEWOOD RD, STE 340
JACKSON, MS 39211
Internal Medicine (Nephrology)
5903 RIDGEWOOD RD, STE 340
JACKSON, MS 39211
Internal Medicine (Cardiovascular Disease)
5903 RIDGEWOOD RD, SUITE230
JACKSON, MS 39211
Neurological Surgery
5903 RIDGEWOOD RD, SUITE 101
JACKSON, MS 39211
Registered Nurse (Registered Nurse First Assistant)
5903 RIDGEWOOD RD
JACKSON, MS 39211
Clinic/Center
5903 RIDGEWOOD RD, SUITE 310
JACKSON, MS 39211
Clinic/Center (Infusion Therapy)
5903 RIDGEWOOD RD, SUITE 110
JACKSON, MS 39211
Clinic/Center (Health Service)
5903 RIDGEWOOD RD, SUITE 310
JACKSON, MS 39211
Counselor (Mental Health)
5903 RIDGEWOOD RD, SUITE 320
JACKSON, MS 39211
Social Worker (Clinical)
5903 RIDGEWOOD RD
JACKSON, MS 39211
Dentist (Endodontics)
5903 RIDGEWOOD RD, SUITE 220
JACKSON, MS 39211
Neurological Surgery
5903 RIDGEWOOD RD, SUITE 101
JACKSON, MS 39211
Speech-Language Pathologist
5903 RIDGEWOOD RD
JACKSON, MS 39211
Respiratory Therapist, Registered
5903 RIDGEWOOD RD
JACKSON, MS 39211
Long Term Care Hospital
5903 RIDGEWOOD RD
JACKSON, MS 39211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063786036, enumerated as an "organization" on March 08, 2012.

The provider is located at 5903 RIDGEWOOD RD SUITE 440 JACKSON, MS 39211 and the phone number is (601) 899-3989.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.