# FLOWOOD PAIN CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356848014
- **Authorized official:** TERESA GREEN CPC (REVENUE MANAGER)
- **Authorized official phone:** (855) 343-5763

## Contact information

- **Practice address:** 120 STONE CREEK BLVD STE 500, FLOWOOD, MS 39232-8210
- **Practice address phone:** (601) 420-2040
- **Practice address fax:** (601) 420-2356
- **Mailing address:** PO BOX 649113, DALLAS, TX 75264-9113
- **Mailing address phone:** (601) 339-2065
- **Mailing address fax:** (855) 343-5763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | MS | — |

## Other

- **Enumeration date:** 04/10/2018
- **Last updated:** 11/19/2025