COMPREHENSIVE PAIN CENTER OF MISSISSIPPI
NPI 1124275565
Pain Medicine - Interventional Pain Medicine in Madison, MS

NPI Status: Active since August 27, 2008

Contact Information

129 FOUNTAINS BLVD
MADISON, MS
ZIP 39110
Phone: (769) 300-0730
Fax: (601) 949-2782

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • Accepts Insurance
  • CLIA Number: 25D2062254
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 07-14-2027

About COMPREHENSIVE PAIN CENTER OF MISSISSIPPI

This page provides the complete NPI Profile along with additional information for Comprehensive Pain Center Of Mississippi, a provider established in Madison, Mississippi operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1124275565 assigned on August 2008. The practitioner's primary taxonomy code is 208VP0014X with license number 16855 (MS). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Leonel Kevin Vance M.d. (Owner)

NPI
1124275565
Provider Name
COMPREHENSIVE PAIN CENTER OF MISSISSIPPI
Entity Type
Organization
Location Address
129 FOUNTAINS BLVD MADISON, MS 39110
Location Phone
(769) 300-0730
Location Fax
(601) 949-2782
Mailing Address
129 FOUNTAINS BLVD MADISON, MS 39110
Mailing Phone
(601) 949-9994
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2008
Last Update Date
03-05-2025
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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

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
License No.
16855
License State
MS
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

LEONEL KEVIN VANCE M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(769) 300-0730

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2389791MEDICAID (05)MS 

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
25D2062254
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
July 15, 2025
Certificate Expiration Date
July 14, 2027
Laboratory Director
LEONEL K. VANCE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Comprehensive Pain Center Of Mississippi 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.

Reviews for COMPREHENSIVE PAIN CENTER OF MISSISSIPPI

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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 1124275565, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 2 → 4 2 → 4 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 4 + 7 + 1 + 0 + 5 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1124275565.

Other Providers at the Same Location


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

Clinic/Center (Primary Care)
129 FOUNTAINS BLVD, SUITE 101
MADISON, MS 39110
Nurse Practitioner (Family)
129 FOUNTAINS BLVD
MADISON, MS 39110
Pain Medicine (Interventional Pain Medicine)
129 FOUNTAINS BLVD, STE 201
MADISON, MS 39110
Nurse Practitioner (Family)
129 FOUNTAINS BLVD
MADISON, MS 39110
Nurse Practitioner
129 FOUNTAINS BLVD
MADISON, MS 39110
Pain Medicine (Interventional Pain Medicine)
129 FOUNTAINS BLVD
MADISON, MS 39110
Nurse Practitioner (Family)
129 FOUNTAINS BLVD
MADISON, MS 39110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124275565, enumerated as an "organization" on August 27, 2008.

The provider is located at 129 FOUNTAINS BLVD MADISON, MS 39110 and the phone number is (769) 300-0730.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.