Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

INTERVENTIONAL SPINE & SPORTS INSTITUTE
NPI 1073746152
Physical Medicine & Rehabilitation in Hattiesburg, MS

Active since August 24, 2009CLIA Certified · 4 labs
6555 U S HIGHWAY 98 STE D, HATTIESBURG, MS 39402(601) 550-3436(601) 292-6299 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

NPI1073746152
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameINTERVENTIONAL SPINE & SPORTS INSTITUTE
Location Address6555 U S HIGHWAY 98 STE DHattiesburg, MS 39402-8440
Mailing Address6555 U S Highway 98 Ste DHattiesburg, MS 39402-8440 · (601) 550-3436 · Fax (601) 292-6299
Fax(601) 292-6299
Organization SubpartNo
Authorized OfficialBrian Scott TrussellOwner · (601) 550-3436
Enumeration DateAugust 24, 2009
Last NPPES UpdateOctober 19, 2026
NPPES CertifiedOctober 19, 2026
✔ NPI 1073746152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in MS · 20628
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
6555 U S HIGHWAY 98 STE D, Hattiesburg, MS 39402

Secondary Practice Locations 2

Location 1300 3rd Ave SEMagee, MS 39111-3665 · Phone (601) 550-3436 · Fax (601) 292-6299
Location 2300 Rawls Dr Ste JMcComb, MS 39648-2816 · Phone (601) 271-1832 · Fax (601) 292-6299

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.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20100226000369Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare 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)

Physical Medicine and Rehabilitation
NPI 1972633923
6555 U S HIGHWAY 98 STE D
Hattiesburg, MS 39402
(601) 550-3436
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205288495
7100 U S HIGHWAY 98 STE 220
Hattiesburg, MS 39402
(601) 582-7655
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1730587767
215 MARION AVE
Mccomb, MS 39648
(601) 249-5500
✔ PECOS✔ Accepts Medicare62 mi

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, MS
Active · expires Mar 3, 2028
CLIA Number25D2300045
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorDr. Brian S. Trussell
Laboratory Phone(601) 271-1831
Laboratory LocationInterventional Spine & Sports Institute300 3rd Avenue SE, Magee, MS 39111
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2103440

Interventional Spine & Sports Institute · Ellisville, MS
Active · expires Oct 12, 2027
CLIA Number25D2103440
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorDr. Brian Trussell
Laboratory Phone(601) 550-3436
Laboratory LocationInterventional Spine & Sports Institute92 Hal Crocker Road, Ellisville, MS 39437
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2286179

Interventional Spine & Sports Institute · Mccomb, MS
Active · expires Jul 24, 2027
CLIA Number25D2286179
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorDr. Brian S. Trussell
Laboratory Phone(601) 271-1832
Laboratory LocationInterventional Spine & Sports Institute300 Rawls Dr Ste 1500, Mccomb, MS 39648
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2286182

Interventional Spine & Sports Institute · Hattiesburg, MS
Active · expires Jul 24, 2027
CLIA Number25D2286182
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorDr. Brian S. Trussell
Laboratory Phone(601) 271-1831
Laboratory LocationInterventional Spine & Sports Institute6766 Hwy 98 Ste 1, Hattiesburg, MS 39402
CLIA data matches this NPI record on: Name
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 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.