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

Q: What is The Pain Clinic Of Mississippi, PLLC's NPI number?

The NPI number for The Pain Clinic Of Mississippi, PLLC is 1063786036. It was assigned to this organization in the NPPES registry on March 8, 2012.

Q: What is The Pain Clinic Of Mississippi, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 08, 2012

5903 RIDGEWOOD RD, SUITE 440, JACKSON, MS 39211(601) 899-3989(601) 899-3504 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About The Pain Clinic Of Mississippi, Pllc NPPES

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

THE PAIN CLINIC OF MISSISSIPPI, PLLC (NPI 1063786036) is a healthcare organization registered as a family in Jackson, Mississippi and active in the NPI registry since March 2012. The organization lists Duane Williamson, President, as its authorized official.

NPPES Registry Identity

NPI1063786036

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameTHE PAIN CLINIC OF MISSISSIPPI, PLLC

Location Address5903 RIDGEWOOD RD, SUITE 440Jackson, MS 39211-3700

Mailing AddressPo Box 235019Montgomery, AL 36123-5019 · (800) 232-5703 · Fax (334) 395-4110

Phone(601) 899-3989

Fax(601) 899-3504

Organization SubpartNo

Authorized OfficialDuane WilliamsonPresident · (601) 899-3989

Enumeration DateMarch 8, 2012

✔ NPI 1063786036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

5903 RIDGEWOOD RD, Jackson, MS 39211

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANEY WATTERS SLP

Speech-Language Pathologist

5903 RIDGEWOOD RD
JACKSON, MS 39211

Hinds County (601) 899-3800

MRS. AMBER NICOLE WHITEHORN PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

5903 RIDGEWOOD RD
JACKSON, MS 39211

Hinds County (601) 984-4820

GENEVIEVE CELESTE GARRETT LCSW, MPH, CHES

Social Worker (Clinical)

5903 RIDGEWOOD RD
JACKSON, MS 39211

Hinds County (601) 984-2955

LESLIE ROOKS R.N.F.A.

Registered Nurse (Registered Nurse First Assistant)

5903 RIDGEWOOD RD
JACKSON, MS 39211

Hinds County (601) 982-8121

DIVERSIFIED RENAL GROUP LLC

Internal Medicine (Nephrology)

5903 RIDGEWOOD RD, STE 340
JACKSON, MS 39211

Hinds County (601) 899-3340

SELECT SPECIALTY HOSPITAL - JACKSON INC

Long Term Care Hospital

5903 RIDGEWOOD RD
JACKSON, MS 39211

Hinds County (601) 376-1099

MEDICAL CARE ALLIANCE LLC

Clinic/Center (Health Service)

5903 RIDGEWOOD RD, SUITE 310
JACKSON, MS 39211

Hinds County (601) 899-3320

DR. BABATUNDE OLUTADE MD

Internal Medicine (Nephrology)

5903 RIDGEWOOD RD, SUITE 340
JACKSON, MS 39211

Hinds County (601) 899-3340

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 The Pain Clinic Of Mississippi, PLLC's NPI number?

The NPI number for The Pain Clinic Of Mississippi, PLLC is 1063786036. It was assigned to this organization in the NPPES registry on March 8, 2012.

Where is The Pain Clinic Of Mississippi, PLLC located?

The Pain Clinic Of Mississippi, PLLC is located at 5903 Ridgewood Rd Suite 440, Jackson, MS 39211. The listed phone number is (601) 899-3989.

What is The Pain Clinic Of Mississippi, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for The Pain Clinic Of Mississippi, PLLC was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.