TRISTATE PAIN SURGERY CENTER, LLC
NPI 1891663761
Clinic/Center - Ambulatory Surgical in Horn Lake, MS

Q: What is Tristate Pain Surgery Center, LLC's NPI number?

The NPI number for Tristate Pain Surgery Center, LLC is 1891663761. It was assigned to this organization in the NPPES registry on October 23, 2025.

Q: What is Tristate Pain Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since October 23, 2025CLIA 25D2338158 · Waiver

6426 HIGHWAY 51 N STE A, HORN LAKE, MS 38637(662) 929-0200(662) 929-0300 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2026, Nov 3, 2025 (2 updates tracked since 2025).

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About Tristate Pain Surgery Center, Llc NPPES

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

TRISTATE PAIN SURGERY CENTER, LLC (NPI 1891663761) is a healthcare organization registered as an ambulatory surgical in Horn Lake, Mississippi and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Mahendra Sanapati, President, as its authorized official.

NPPES Registry Identity

NPI1891663761

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameTRISTATE PAIN SURGERY CENTER, LLC

Location Address6426 HIGHWAY 51 N STE AHorn Lake, MS 38637-2474

Mailing Address6426 Highway 51 N Ste AHorn Lake, MS 38637-2474 · (662) 929-0200 · Fax (662) 929-0300

Phone(662) 929-0200

Fax(662) 929-0300

Organization SubpartNo

Authorized OfficialMahendra SanapatiPresident · (812) 573-1207

Enumeration DateOctober 23, 2025

Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1891663761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

6426 HIGHWAY 51 N STE A, Horn Lake, MS 38637

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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 25D2338158

Tristate Pain Surgery Center · Horn Lake, MS

Active · expires Feb 4, 2028

CLIA Number25D2338158

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateFebruary 5, 2026

Certificate Expiration DateFebruary 4, 2028

Laboratory DirectorJennifer J. Deshazo

Laboratory Phone(662) 929-0200

Laboratory LocationTristate Pain Surgery Center6426 Hwy 51 North Ste A, Horn Lake, MS 38637

CLIA data matches this NPI record on: Address Name Phone

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 Tristate Pain Surgery Center, LLC's NPI number?

The NPI number for Tristate Pain Surgery Center, LLC is 1891663761. It was assigned to this organization in the NPPES registry on October 23, 2025.

Where is Tristate Pain Surgery Center, LLC located?

Tristate Pain Surgery Center, LLC is located at 6426 Highway 51 N Ste A, Horn Lake, MS 38637. The listed phone number is (662) 929-0200.

What is Tristate Pain Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Tristate Pain Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2338158) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tristate Pain Surgery Center, LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.