PREMIER PAIN CARE, P.C.
NPI 1336408186
Clinic/Center - Pain in Jackson, MS

Active since May 15, 2012CLIA 25D2041693 · Waiver
514F E WOODROW WILSON AVE, JACKSON, MS 39216(601) 982-3132(601) 982-3136 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Premier Pain Care, P.c. NPPES

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

PREMIER PAIN CARE, P.C. (NPI 1336408186) is a healthcare organization registered as a pain in Jackson, Mississippi and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Lori Marshall, President, as its authorized official.

NPPES Registry Identity

NPI1336408186
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePREMIER PAIN CARE, P.C.
Location Address514F E WOODROW WILSON AVEJackson, MS 39216-4538
Mailing Address514f E Woodrow Wilson AveJackson, MS 39216-4538 · (601) 982-3132 · Fax (601) 982-3136
Fax(601) 982-3136
Organization SubpartNo
Authorized OfficialLori MarshallPresident · (601) 982-3132
Enumeration DateMay 15, 2012
Last NPPES UpdateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1336408186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
514F E WOODROW WILSON AVE, Jackson, MS 39216

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Pain Care, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Premier Pain Care, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Pain Management
NPI 1144428749
514F E WOODROW WILSON AVE
Jackson, MS 39216
(601) 982-3132
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922469063
514 E WOODROW WILSON AVE STE F
Jackson, MS 39216
(601) 982-3132
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407390438
4635 HIGHWAY 80 E
Pearl, MS 39208
(601) 933-2500
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1588752810
2841 HIGHWAY 18 STE A
Brandon, MS 39042
(769) 241-6207
✔ PECOS15 mi
Nurse Practitioner
NPI 1386897635
1842 SIMPSON HIGHWAY 149
Mendenhall, MS 39114
(601) 847-2221
✔ PECOS✔ Accepts Medicare30 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

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 25D2041693

Premier Pain Care · Jackson, MS
Active · expires May 28, 2028
CLIA Number25D2041693
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorLori H. Marshall
Laboratory Phone(601) 982-3132
Laboratory LocationPremier Pain Care514 F East Woodrow Wilson Avenue, Jackson, MS 39216
CLIA data matches this NPI record on: Name Phone
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 Premier Pain Care, P.C.'s NPI number?

The NPI number for Premier Pain Care, P.C. is 1336408186. It was assigned to this organization in the NPPES registry on May 15, 2012.

Where is Premier Pain Care, P.C. located?

Premier Pain Care, P.C. is located at 514F E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 982-3132.

What is Premier Pain Care, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Is Premier Pain Care, P.C. enrolled in Medicare?

Yes. Premier Pain Care, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Pain Care, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Premier Pain Care, P.C.. 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 (4) and Pain Management (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Pain Care, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2041693) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Pain Care, P.C. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Premier Pain Care, P.C. 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 Premier Pain Care, P.C. was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.