INTERVENTIONAL SPINE & SPORTS INSTITUTE
NPI 1073746152
Physical Medicine & Rehabilitation in Hattiesburg, MS
About Interventional Spine & Sports Institute NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERVENTIONAL SPINE & SPORTS INSTITUTE (NPI 1073746152) is a healthcare organization registered as a physical medicine & rehabilitation in Hattiesburg, Mississippi and active in the NPI registry since August 2009. The organization holds 4 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Brian Scott Trussell, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Interventional Spine & Sports Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Interventional Spine & Sports Institute, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Waiver 25D2300045
Interventional Spine & Sports Institute · Magee, MSCertificate of Waiver 25D2103440
Interventional Spine & Sports Institute · Ellisville, MSCertificate of Waiver 25D2286179
Interventional Spine & Sports Institute · Mccomb, MSCertificate of Waiver 25D2286182
Interventional Spine & Sports Institute · Hattiesburg, MSFrequently 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 Interventional Spine & Sports Institute's NPI number?
The NPI number for Interventional Spine & Sports Institute is 1073746152. It was assigned to this organization in the NPPES registry on August 24, 2009.
Where is Interventional Spine & Sports Institute located?
Interventional Spine & Sports Institute is located at 6555 U S Highway 98 Ste D, Hattiesburg, MS 39402. The listed phone number is (601) 550-3436.
What is Interventional Spine & Sports Institute's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Interventional Spine & Sports Institute enrolled in Medicare?
Yes. Interventional Spine & Sports Institute is registered in the Medicare PECOS enrollment system.
When is Interventional Spine & Sports Institute's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Interventional Spine & Sports Institute?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Interventional Spine & Sports Institute, in Nurse Practitioner and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Interventional Spine & Sports Institute 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.
What insurance does Interventional Spine & Sports Institute accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Interventional Spine & Sports Institute as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Interventional Spine & Sports Institute was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.