PAIN CLINIC ASSOCIATES PLLC
NPI 1306496567
Pain Medicine - Interventional Pain Medicine in Southaven, MS

NPI Status: Active since September 18, 2019

Contact Information

7600 AIRWAYS BLVD STE A
SOUTHAVEN, MS
ZIP 38671
Phone: (901) 747-0040
Fax: (901) 747-0038

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • CLIA Number: 25D2173998
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-21-2027

About PAIN CLINIC ASSOCIATES PLLC

This page provides the complete NPI Profile along with additional information for Pain Clinic Associates Pllc, a provider established in Southaven, Mississippi operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1306496567 assigned on September 2019. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Pain Clinic Associates Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ray Saunders (Practice Administrator)

NPI
1306496567
Provider Name
PAIN CLINIC ASSOCIATES PLLC
Entity Type
Organization
Location Address
7600 AIRWAYS BLVD STE A SOUTHAVEN, MS 38671
Location Phone
(901) 747-0040
Location Fax
(901) 747-0038
Mailing Address
PO BOX 931320 ATLANTA, GA 31193
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2019
Last Update Date
03-15-2024
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Location Map

Secondary Locations

  • 7600 Airways Blvd Ste E
    Southaven, MS 38671
    (901) 747-0040

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
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 
2207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

 
32084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

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

RAY SAUNDERS

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(901) 507-1595

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
1306496567OTHER (01)MSNPI

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
25D2173998
Facility Type
Physician Office
Certificate Effective Date
October 22, 2025
Certificate Expiration Date
October 21, 2027
Laboratory Director
DR. MOACIR SCHNAPP
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pain Clinic Associates Pllc 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.

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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 1306496567, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 8 + 9 + 1 + 2 + 5 + 1 + 2 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1306496567.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapy Assistant
7600 AIRWAYS BLVD STE A, SUITE 2
SOUTHAVEN, MS 38671
Obstetrics & Gynecology
7600 AIRWAYS BLVD STE A
SOUTHAVEN, MS 38671

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306496567, enumerated as an "organization" on September 18, 2019.

The provider is located at 7600 AIRWAYS BLVD STE A SOUTHAVEN, MS 38671 and the phone number is (901) 747-0040.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.