1. Home
  2. Directory
  3. Mississippi
  4. Madison
  5. Pain Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHERN INTERVENTIONAL PAIN SPECIALISTS JACKSON, PLLC
NPI 1750250577
Pain Medicine - Interventional Pain Medicine in Madison, MS

Active since October 30, 2025
401 BAPTIST DR STE 301A, MADISON, MS 39110(601) 891-5524(601) 348-8716 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Sep 17, 2026 (2 updates tracked since 2026).

About Southern Interventional Pain Specialists Jackson, Pllc NPPES

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

SOUTHERN INTERVENTIONAL PAIN SPECIALISTS JACKSON, PLLC (NPI 1750250577) is a healthcare organization registered as an interventional pain medicine in Madison, Mississippi and active in the NPI registry since October 2025. The organization lists Jeremy Smitherman, Owner, as its authorized official.

NPPES Registry Identity

NPI1750250577
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSOUTHERN INTERVENTIONAL PAIN SPECIALISTS JACKSON, PLLC
Location Address401 BAPTIST DR STE 301AMadison, MS 39110-2012
Mailing Address401 Baptist Dr Ste 301aMadison, MS 39110-2012 · (601) 891-5524 · Fax (601) 348-8716
Phone(601) 891-5524
Fax(601) 348-8716
Organization SubpartNo
Authorized OfficialJeremy SmithermanOwner · (601) 891-5524
Enumeration DateOctober 30, 2025
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1750250577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
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.
401 BAPTIST DR STE 301A, Madison, MS 39110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Interventional Pain Specialists Jackson, Pllc 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 Southern Interventional Pain Specialists Jackson, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeremy Smitherman, MD
Interventional Pain Management
NPI 1457507055
401 BAPTIST DR STE 301A
Madison, MS 39110
(601) 891-5524
✔ 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.

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 Southern Interventional Pain Specialists Jackson, PLLC's NPI number?

The NPI number for Southern Interventional Pain Specialists Jackson, PLLC is 1750250577. It was assigned to this organization in the NPPES registry on October 30, 2025.

Where is Southern Interventional Pain Specialists Jackson, PLLC located?

Southern Interventional Pain Specialists Jackson, PLLC is located at 401 Baptist Dr Ste 301A, Madison, MS 39110. The listed phone number is (601) 891-5524.

What is Southern Interventional Pain Specialists Jackson, PLLC's specialty?

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

Is Southern Interventional Pain Specialists Jackson, PLLC enrolled in Medicare?

Yes. Southern Interventional Pain Specialists Jackson, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Interventional Pain Specialists Jackson, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Southern Interventional Pain Specialists Jackson, PLLC. 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.

When was this NPI record last updated?

The NPPES record for Southern Interventional Pain Specialists Jackson, PLLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.