OrganizationActive
Panola Physician Group, LLC
NPI 1790385417 · Pain Clinic/Center · Tupelo, MS
Panola Physician Group, LLC is a Pain Clinic/Center organization in Tupelo, MS (NPI 1790385417).
Provider details
- NPI number
- 1790385417
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Whitwell, Ceo(662) 701-9346
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2089 Southridge Dr
Tupelo, MS 38801-6478
Phone: (662) 407-0801
Street-level locationGet directions
Mailing address
303 Medical Center Dr
Batesville, MS 38606-8608
Other names (DBA / former)
- Doing business as
- Pain Management Center of North Mississippi
Registry dates
- Enumerated
- 2020-10-30
- Last updated
- 2020-10-30
- Certified
- 2020-10-30
Frequently asked questions
- What is Panola Physician Group, LLC's NPI number?
- Panola Physician Group, LLC's National Provider Identifier (NPI) is 1790385417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Panola Physician Group, LLC?
- Panola Physician Group, LLC is classified in the NPPES registry as Pain Clinic/Center (Ambulatory Health Care Facilities).
- Where is Panola Physician Group, LLC located?
- Panola Physician Group, LLC's practice location on file with NPPES is 2089 Southridge Dr, Tupelo, MS 38801-6478.
- What is Panola Physician Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Panola Physician Group, LLC is (662) 407-0801.
- Who is the authorized official for Panola Physician Group, LLC?
- The authorized official listed on Panola Physician Group, LLC's NPPES record is Robert Whitwell, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Panola Physician Group, LLC's NPI active?
- Yes — Panola Physician Group, LLC's NPI (1790385417) is active in the NPPES registry as of the last update on 2020-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.