PHYSICIANS PAIN AND SPINE SPECIALISTS
NPI 1639417819
Pain Medicine - Interventional Pain Medicine in Gulfport, MS

Q: What is Physicians Pain And Spine Specialists's specialty?

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

Active since January 23, 2013CLIA 25D2097351 · Waiver

14986 ANGELA DR, GULFPORT, MS 39503(228) 357-5464(877) 563-0603 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 18, 2021, Oct 28, 2020, Oct 2, 2020 (3 updates tracked since 2020).

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About Physicians Pain And Spine Specialists NPPES

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

PHYSICIANS PAIN AND SPINE SPECIALISTS (NPI 1639417819) is a healthcare organization registered as an interventional pain medicine in Gulfport, Mississippi and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Shawn X Wu, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1639417819

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NamePHYSICIANS PAIN AND SPINE SPECIALISTS

Location Address14986 ANGELA DRGulfport, MS 39503-3502

Mailing Address14986 Angela DrGulfport, MS 39503-3502 · (228) 357-5464 · Fax (877) 563-0603

Phone(228) 357-5464

Fax(877) 563-0603

Organization SubpartNo

Authorized OfficialShawn X WuMedical Director · (248) 342-5207

Enumeration DateJanuary 23, 2013

Last NPPES UpdateJanuary 18, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2021

✔ NPI 1639417819 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 · 18988

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.

14986 ANGELA DR, Gulfport, MS 39503

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Other Identifiers 1

Medicaid05482375MS

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physicians Pain And Spine Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Physicians Pain And Spine Specialists, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shawn Wu, MD

Pain Management

NPI 1952462905

14986 ANGELA DR
Gulfport, MS 39503

(228) 357-5464

✔ PECOS✔ Accepts MedicareSame address

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 25D2097351

Physicians Pain And Spine Specialists · Gulfport, MS

Active · expires Jun 14, 2027

CLIA Number25D2097351

Laboratory TypePhysician Office

Certificate Effective DateJune 15, 2025

Certificate Expiration DateJune 14, 2027

Laboratory DirectorMaja Wu

Laboratory Phone(000) 228-3575

Laboratory LocationPhysicians Pain And Spine Specialists14986 Angela Drive, Gulfport, MS 39503

CLIA data matches this NPI record on: Address Name

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 Physicians Pain And Spine Specialists's NPI number?

The NPI number for Physicians Pain And Spine Specialists is 1639417819. It was assigned to this organization in the NPPES registry on January 23, 2013.

Where is Physicians Pain And Spine Specialists located?

Physicians Pain And Spine Specialists is located at 14986 Angela Dr, Gulfport, MS 39503. The listed phone number is (228) 357-5464.

What is Physicians Pain And Spine Specialists's specialty?

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

Is Physicians Pain And Spine Specialists enrolled in Medicare?

Yes. Physicians Pain And Spine Specialists is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physicians Pain And Spine Specialists?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Physicians Pain And Spine Specialists. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Physicians Pain And Spine Specialists hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2097351) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Physicians Pain And Spine Specialists was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.