OrganizationActive
Southland Wellness PLLC
NPI 1609586346 · Anesthesiology Physician · Olive Branch, MS
Provider details
- NPI number
- 1609586346
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lindsay Pace, Owner(901) 281-9387
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Infusion Therapy Registered Nurse163WI0500X
Nursing Service Providers
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
6810 Crumpler Blvd Ste 100
Olive Branch, MS 38654-1934
Phone: (662) 892-8728
Street-level locationGet directions
Mailing address
6810 Crumpler Blvd Ste 100
Olive Branch, MS 38654-1934
Other names (DBA / former)
- Doing business as
- Southland Wellness PLLC
Registry dates
- Enumerated
- 2022-12-05
- Last updated
- 2022-12-05
- Certified
- 2022-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.