INDEPENDENT HEALTHCARE MANAGEMENT, INC
NPI 1275130601
Clinic/Center in Newton, MS

Active since October 08, 2020
9425 EASTSIDE DRIVE EXT STE B, NEWTON, MS 39345(601) 683-0330(601) 635-3746 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Independent Healthcare Management, Inc NPPES

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

INDEPENDENT HEALTHCARE MANAGEMENT, INC (NPI 1275130601), doing business as Lackey Pain Clinic, is a healthcare organization registered as a clinic/center in Newton, Mississippi and active in the NPI registry since October 2020. The organization lists John P Lee, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1275130601
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameINDEPENDENT HEALTHCARE MANAGEMENT, INC
Location Address9425 EASTSIDE DRIVE EXT STE BNewton, MS 39345-8069
Mailing Address100 Pioneer WayMagee, MS 39111-5501 · (601) 849-6440
Fax(601) 635-3746
Organization SubpartNo
Authorized OfficialJohn P LeeMedical Director · (601) 469-4861
Enumeration DateOctober 8, 2020
NPPES CertifiedOctober 5, 2020
✔ NPI 1275130601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9425 EASTSIDE DRIVE EXT STE B, Newton, MS 39345

Other Names 1

Doing Business AsLackey Pain Clinic

Other Identifiers 1

Other13033MS · License

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Independent Healthcare Management, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

94

Medicare enrollment records show 94 clinicians reassign Medicare billing to Independent Healthcare Management, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner39
Emergency Medicine18
Certified Registered Nurse Anesthetist (CRNA)13
Family Practice8
Internal Medicine6
General Surgery2
Pediatric Medicine2
Anesthesiology1
5 other specialties5

Nearest to this location (20)

See all 94
Nurse Practitioner
NPI 1306270269
9421 EASTSIDE DRIVE EXT
Newton, MS 39345
(601) 683-2031
✔ PECOSSame address
Nurse Practitioner
NPI 1518771161
9427 EASTSIDE DRIVE EXT # A
Newton, MS 39345
(601) 683-0330
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164170734
9427 EASTSIDE DRIVE EXT STE A
Newton, MS 39345
(601) 683-0330
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1114909199
208 S MAIN ST
Newton, MS 39345
(601) 683-0279
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1669781332
9421 EASTSIDE DRIVE EXT
Newton, MS 39345
(601) 683-2031
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1992368799
330 N BROAD ST
Forest, MS 39074
(601) 469-4151
✔ PECOS18 mi
Nurse Practitioner
NPI 1114170529
330 N BROAD ST
Forest, MS 39074
(601) 469-4771
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1831130715
330 N BROAD ST
Forest, MS 39074
(601) 469-4771
✔ PECOS18 mi
Nurse Practitioner
NPI 1609323450
330 N BROAD ST
Forest, MS 39074
(601) 469-4151
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1710092986
330 N BROAD ST
Forest, MS 39074
(601) 469-4151
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1871575852
1080 HIGHWAY 35 S
Forest, MS 39074
(601) 469-3555
✔ PECOS✔ Accepts Medicare19 mi
Internal Medicine
NPI 1063945475
505 AIRPORT RD STE B
Forest, MS 39074
(601) 469-4771
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1700566213
505 AIRPORT RD
Forest, MS 39074
(601) 469-4151
✔ PECOS✔ Accepts Medicare19 mi
Clinical Social Worker
NPI 1811682099
1129 HIGHWAY 35 S STE 1
Forest, MS 39074
(601) 469-3320
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1336780527
1129 HIGHWAY 35 S STE 1
Forest, MS 39074
(601) 469-3320
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1629403704
1123 HIGHWAY 35 S
Forest, MS 39074
(601) 469-4771
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1992806699
1 MEDICAL LN
Forest, MS 39074
(601) 469-4861
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1346341054
1 MEDICAL LN
Forest, MS 39074
(601) 469-4861
✔ PECOS19 mi
Nurse Practitioner
NPI 1750797874
526 DEERFIELD DR
Forest, MS 39074
(601) 469-0291
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1649762253
1 MEDICAL LN
Forest, MS 39074
(601) 469-4861
✔ PECOS✔ Accepts Medicare21 mi
See all 94 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Independent Healthcare Management, Inc's NPI number?

The NPI number for Independent Healthcare Management, Inc is 1275130601. It was assigned to this organization in the NPPES registry on October 8, 2020. The provider is doing business as Lackey Pain Clinic.

Where is Independent Healthcare Management, Inc located?

Independent Healthcare Management, Inc is located at 9425 Eastside Drive Ext Ste B, Newton, MS 39345. The listed phone number is (601) 683-0330.

What is Independent Healthcare Management, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Independent Healthcare Management, Inc enrolled in Medicare?

Yes. Independent Healthcare Management, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Independent Healthcare Management, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 94 clinicians in 13 Medicare specialties reassign their Medicare billing to Independent Healthcare Management, Inc. 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. The largest specialties are Nurse Practitioner (39), Emergency Medicine (18) and Certified Registered Nurse Anesthetist (CRNA) (13). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Independent Healthcare Management, Inc was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.