OrganizationActive
828 Walk in Clinic
NPI 1255608816 · Pain Medicine (Anesthesiology) Physician · Gulfport, MS
Provider details
- NPI number
- 1255608816
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Painstop Spine Clinic, LLC
- Organization subpart
- Yes
- Authorized official
- Stacey Tsang, General Manager(228) 273-4096
- License
- R791344 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(80/100 index)
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
12207 Hwy 49
Suite 40
Gulfport, MS 39503
Phone: (228) 832-8872
Fax: (866) 809-7246
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4594
Biloxi, MS 39535-4594
Other names (DBA / former)
- Doing business as
- Painstop Spine Clinic, LLC
Registry dates
- Enumerated
- 2011-11-28
- Last updated
- 2011-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.