PANOLA PHYSICIAN GROUP, LLC
NPI 1790385417
Clinic/Center - Pain in Tupelo, MS
About Panola Physician Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PANOLA PHYSICIAN GROUP, LLC (NPI 1790385417), doing business as Pain Management Center Of North Mississippi, is a healthcare organization registered as a pain in Tupelo, Mississippi and active in the NPI registry since October 2020. The organization lists Robert Quentin Whitwell, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Panola Physician Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
112Medicare enrollment records show 112 clinicians reassign Medicare billing to Panola Physician Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 112Source: 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 Panola Physician Group, LLC's NPI number?
The NPI number for Panola Physician Group, LLC is 1790385417. It was assigned to this organization in the NPPES registry on October 30, 2020. The provider is doing business as Pain Management Center of North Mississippi.
Where is Panola Physician Group, LLC located?
Panola Physician Group, LLC is located at 2089 Southridge Dr, Tupelo, MS 38801. The listed phone number is (662) 407-0801.
What is Panola Physician Group, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.
Is Panola Physician Group, LLC enrolled in Medicare?
Yes. Panola Physician Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Panola Physician Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 112 clinicians in 12 Medicare specialties reassign their Medicare billing to Panola Physician Group, LLC. 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 (84), Emergency Medicine (7) and Internal Medicine (5). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Panola Physician Group, LLC was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Panola Physician Group, Llc · NPI 1790385417
Pain organization in Tupelo, Mississippi. Organization record, active in the CMS NPPES registry since October 30, 2020.
## Identity
- **NPI:** 1790385417 (Entity type: Organization)
- **Enumerated:** October 30, 2020
- **Primary specialty:** Clinic/Center - Pain · taxonomy 261QP3300X
- **Also known as:** Pain Management Center of North Mississippi (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Robert Whitwell, CEO
## Practice location
- **Address:** 2089 SOUTHRIDGE DR, Tupelo, MS 38801-6478
- **Phone:** (662) 407-0801
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 112 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (84), Emergency Medicine (7), Internal Medicine (5); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1790385417/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1790385417) · Data from the CMS NPPES public registry.