Organization
COMPREHENSIVE PAIN CENTER OF MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONEL KEVIN VANCE M.D. (OWNER)
(769) 300-0730
Entity
Organization
Contact information
Practice address
129 FOUNTAINS BLVD, MADISON, MS 39110
(769) 300-0730
(601) 949-2782
Mailing address
129 FOUNTAINS BLVD, MADISON, MS 39110
(601) 949-9994
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
16855
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2389791
—
MS
Enumeration date
08/27/2008
Last updated
03/05/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up