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

Active since August 27, 2008CLIA Certified · 2 labs
129 FOUNTAINS BLVD, MADISON, MS 39110(769) 300-0730(601) 949-2782 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2025, Mar 17, 2018, Feb 28, 2018 (3 updates tracked since 2018).

About Comprehensive Pain Center Of Mississippi NPPES

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

COMPREHENSIVE PAIN CENTER OF MISSISSIPPI (NPI 1124275565) is a healthcare organization registered as an interventional pain medicine in Madison, Mississippi and active in the NPI registry since August 2008. The organization holds 2 active CLIA laboratory certificates and lists Leonel Kevin Vance, Owner, as its authorized official.

NPPES Registry Identity

NPI1124275565
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCOMPREHENSIVE PAIN CENTER OF MISSISSIPPI
Location Address129 FOUNTAINS BLVDMadison, MS 39110
Mailing Address129 Fountains BlvdMadison, MS 39110 · (601) 949-9994
Fax(601) 949-2782
Organization SubpartNo
Authorized OfficialLeonel Kevin VanceOwner · (769) 300-0730
Enumeration DateAugust 27, 2008
Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
NPI 1124275565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in MS · 16855
Definition

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.

129 FOUNTAINS BLVD, Madison, MS 39110

Other Identifiers 1

Medicaid2389791MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 25D2062254

Comprehensive Pain Center For Surgery LLC · Madison, MS
Active · expires Jul 14, 2027
CLIA Number25D2062254
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorLeonel K. Vance
Laboratory Phone(601) 949-9994
Laboratory LocationComprehensive Pain Center For Surgery LLC129 Fountains Boulevard, Madison, MS 39110
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 25D1092756

Comprehensive Pain Center Of Ms PLLC · Madison, MS
Active · expires Jul 29, 2027
CLIA Number25D1092756
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorDr. Peter J. Simms
Laboratory Phone(919) 766-8791
Laboratory LocationComprehensive Pain Center Of Ms PLLC129 Fountains Blvd Ste 201, Madison, MS 39110
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 7

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

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

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 Comprehensive Pain Center Of Mississippi's NPI number?

The NPI number for Comprehensive Pain Center Of Mississippi is 1124275565. It was assigned to this organization in the NPPES registry on August 27, 2008.

Where is Comprehensive Pain Center Of Mississippi located?

Comprehensive Pain Center Of Mississippi is located at 129 Fountains Blvd, Madison, MS 39110. The listed phone number is (769) 300-0730.

What is Comprehensive Pain Center Of Mississippi's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Comprehensive Pain Center Of Mississippi hold CLIA laboratory certificates?

Yes. 2 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 Comprehensive Pain Center Of Mississippi accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Comprehensive Pain Center Of Mississippi 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 Comprehensive Pain Center Of Mississippi was last updated on March 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.