FLOWOOD PAIN CENTER, LLC
NPI 1356848014
Anesthesiology - Pain Medicine in Flowood, MS
NPI Status: Active since April 10, 2018
Contact Information
120 STONE CREEK BLVD STE 500
FLOWOOD, MS
ZIP 39232
Phone: (601) 420-2040
Fax: (601) 420-2356
- Organization
- Anesthesiology
- Pain Medicine
- Accepts Insurance
- CLIA Number: 25D1042667
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-24-2027
About FLOWOOD PAIN CENTER, LLC
This page provides the complete NPI Profile along with additional information for Flowood Pain Center, Llc, a provider established in Flowood, Mississippi operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1356848014 assigned on April 2018. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated one year ago. Flowood Pain Center, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. 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 Teresa Green Cpc (Revenue Manager)
- NPI
- 1356848014
- Provider Name
- FLOWOOD PAIN CENTER, LLC
- Entity Type
- Organization
- Location Address
- 120 STONE CREEK BLVD STE 500 FLOWOOD, MS 39232
- Location Phone
- (601) 420-2040
- Location Fax
- (601) 420-2356
- Mailing Address
- PO BOX 649113 DALLAS, TX 75264
- Mailing Phone
- (601) 339-2065
- Mailing Fax
- (601) 420-2356
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-10-2018
- Last Update Date
- 11-19-2025
- Code Navigator
Location Map
Secondary Locations
- 7900 Airways Blvd Ste 2
Southaven, MS 38671
(601) 420-2040 - 7100 U S Highway 98 Ste 210
Hattiesburg, MS 39402
(601) 420-2040 - 1100 Highway 16 E
Carthage, MS 39051
(601) 267-1100 - 27190 Highway 28 Ste 105
Hazlehurst, MS 39083
(601) 420-2040 - 220 Highway 12 W
Kosciusko, MS 39090
(601) 420-2040 - 114 Byram Business Center Dr
Byram, MS 39272
(601) 420-2040 - 2080 S Frontage Rd Ste 112
Vicksburg, MS 39180
(601) 420-2040 - 970 Lakeland Dr Ste 45
Jackson, MS 39216
(601) 420-2040
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
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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) |
|---|---|---|---|---|
| 1 | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | (MS) |
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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 25D1042667
- Facility Type
- Physician Office
- Certificate Effective Date
- September 25, 2025
- Certificate Expiration Date
- September 24, 2027
- Laboratory Director
- DR. PETER J. SIMMS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Flowood Pain Center, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1356848014, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
FLOWOOD, MS 39232
FLOWOOD, MS 39232
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356848014, enumerated as an "organization" on April 10, 2018.
The provider is located at 120 STONE CREEK BLVD STE 500 FLOWOOD, MS 39232 and the phone number is (601) 420-2040.
Anesthesiology with taxonomy code 207LP2900X and a focus in 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.
