MID SOUTH PAIN & ANESTHESIA CLINIC INC
NPI 1841336583
Specialist in Germantown, TN
About Mid South Pain & Anesthesia Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MID SOUTH PAIN & ANESTHESIA CLINIC INC (NPI 1841336583) is a healthcare organization registered as a specialist in Germantown, Tennessee and active in the NPI registry since January 2007. The organization lists Phillip E Green, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mid South Pain & Anesthesia Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mid South Pain & Anesthesia Clinic Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Mid South Pain & Anesthesia Clinic Inc's NPI number?
The NPI number for Mid South Pain & Anesthesia Clinic Inc is 1841336583. It was assigned to this organization in the NPPES registry on January 29, 2007.
Where is Mid South Pain & Anesthesia Clinic Inc located?
Mid South Pain & Anesthesia Clinic Inc is located at 3087 Professional Plz, Germantown, TN 38138. The listed phone number is (901) 761-0800.
What is Mid South Pain & Anesthesia Clinic Inc's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Mid South Pain & Anesthesia Clinic Inc enrolled in Medicare?
Yes. Mid South Pain & Anesthesia Clinic Inc is registered in the Medicare PECOS enrollment system.
When is Mid South Pain & Anesthesia Clinic Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mid South Pain & Anesthesia Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Anesthesiology, reassign their Medicare billing to Mid South Pain & Anesthesia Clinic Inc. 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. Of these, 2 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 Mid South Pain & Anesthesia Clinic Inc was last updated on July 20, 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.
# Mid South Pain & Anesthesia Clinic Inc · NPI 1841336583
Specialist organization in Germantown, Tennessee. Organization record, active in the CMS NPPES registry since January 29, 2007.
## Identity
- **NPI:** 1841336583 (Entity type: Organization)
- **Enumerated:** January 29, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Phillip Green, OWNER
## Practice location
- **Address:** 3087 PROFESSIONAL PLZ, Germantown, TN 38138-7912
- **Phone:** (901) 761-0800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Anesthesiology) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2021
- **Other identifiers:** Medicaid 3722886 (TN); Medicaid 00586809 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1841336583) · Data from the CMS NPPES public registry.