The Pain Clinic of Mississippi, PLLC
NPI 1063786036 · Family Nurse Practitioner · Jackson, MS
The Pain Clinic of Mississippi, PLLC is a Family Nurse Practitioner organization in Jackson, MS (NPI 1063786036).
Provider details
- NPI number
- 1063786036
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Duane Williamson, President(601) 899-3989
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-03-08
- Last updated
- 2012-03-08
Frequently asked questions
- What is The Pain Clinic of Mississippi, PLLC's NPI number?
- The Pain Clinic of Mississippi, PLLC's National Provider Identifier (NPI) is 1063786036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Pain Clinic of Mississippi, PLLC?
- The Pain Clinic of Mississippi, PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is The Pain Clinic of Mississippi, PLLC located?
- The Pain Clinic of Mississippi, PLLC's practice location on file with NPPES is 5903 Ridgewood Rd, Jackson, MS 39211-3700.
- What is The Pain Clinic of Mississippi, PLLC's phone number?
- The practice phone number listed in the NPPES registry for The Pain Clinic of Mississippi, PLLC is (601) 899-3989.
- Who is the authorized official for The Pain Clinic of Mississippi, PLLC?
- The authorized official listed on The Pain Clinic of Mississippi, PLLC's NPPES record is Duane Williamson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Pain Clinic of Mississippi, PLLC's NPI active?
- Yes — The Pain Clinic of Mississippi, PLLC's NPI (1063786036) is active in the NPPES registry as of the last update on 2012-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.