OrganizationActive
Advanced Diagnostic Pain Center, PLLC
NPI 1972706646 · Pain Medicine (Anesthesiology) Physician · Jackson, MS
Provider details
- NPI number
- 1972706646
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carol Harris, Owner(601) 899-3990
- License
- 19739 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5903 Ridgewood Rd
440
Jackson, MS 39211-3700
Phone: (601) 899-3990
Fax: (601) 899-3920
Approximate (ZIP-level) locationGet directions
Mailing address
5903 Ridgewood Rd
Jackson, MS 39211-3700
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.