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PANOLA PHYSICIAN GROUP, LLC
NPI 1790385417
Clinic/Center - Pain in Tupelo, MS

Active since October 30, 2020
2089 SOUTHRIDGE DR, TUPELO, MS 38801(662) 407-0801 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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

NPI1790385417
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePANOLA PHYSICIAN GROUP, LLC
Location Address2089 SOUTHRIDGE DRTupelo, MS 38801-6478
Mailing Address303 Medical Center DrBatesville, MS 38606-8608 · (662) 563-5611 · Fax (662) 563-0155
Phone(662) 407-0801
Organization SubpartNo
Authorized OfficialRobert Quentin WhitwellCeo · (662) 701-9346
Enumeration DateOctober 30, 2020
NPPES CertifiedOctober 30, 2020
✔ NPI 1790385417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
2089 SOUTHRIDGE DR, Tupelo, MS 38801
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Other Names 1

Doing Business AsPain Management Center Of North Mississippi

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER L RODABOUGH PT
Physical Therapist
2089 SOUTHRIDGE DR
TUPELO, MS 38801
Lee County (662) 407-0801
MRS. RITA TESTA RAGAN FNP-BC
Nurse Practitioner (Family)
2089 SOUTHRIDGE DR
TUPELO, MS 38801
Lee County (662) 407-0801
HOLLY CORBIN POLAND
Nurse Practitioner
2089 SOUTHRIDGE DR
TUPELO, MS 38801
Lee County (662) 407-0801
DR. GEORGE MONROE HAMMITT III M.D.
Anesthesiology (Pain Medicine)
2089 SOUTHRIDGE DR
TUPELO, MS 38801
Lee County (662) 407-0801
MEERA SATISH JONES FNP
Nurse Practitioner (Family)
2089 SOUTHRIDGE DR
TUPELO, MS 38801
Lee County (662) 407-0801
NORTH MISSISSIPPI MEDICAL CENTER, INC
Nurse Practitioner
2089 SOUTHRIDGE DR
TUPELO, MS 38801
Lee County (662) 407-0801
PAIN MANAGEMENT CENTER OF NORTH
Clinic/Center (Pain)
2089 SOUTHRIDGE DR
TUPELO, MS 38801
Lee County (662) 407-0801
HOLLY J KENDRICK NP
Nurse Practitioner
2089 SOUTHRIDGE DR
TUPELO, MS 38801
Lee County (662) 407-0801

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.

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 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.