Comprehensive Pain and Rehabilitation – Pain Medicine Physician, NPI 1659312007
Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Comprehensive Pain and Rehabilitation
230 Greeno Rd N
Fairhope, AL 365322914
Phone: (251) 625-2228
Fax: (251) 625-2112
Type: Location
3153 Dauphin St Ste B
Mobile, AL 366064061
Phone: (251) 333-3997
Fax: (251) 333-3997
Type: Location
15 Marks Rd
Ocean Springs, MS 395644351
Phone: (228) 938-0700
Fax: (228) 938-0705
Type: Location
PO BOX 1469
PASCAGOULA, MS 395681469
Phone: (228) 938-0699
Fax: (228) 938-0705
Type: Mailing
4105, Hospital Street, Pascagoula, Jackson County, Mississippi, 39567, United States
SUITE 112B
PASCAGOULA, MS 395815312
Phone: (228) 938-0700
Fax: (228) 938-0705
Type: Location
4960 SW 72ND AVE STE 405
MIAMI, FL 331555506
Phone: (469) 458-9222
Fax: (443) 595-6960
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-01-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (131 days ago).
Enrollment records
3
Earliest due date
2026-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031111000677 | O | Clinic/Group Practice | AL | TBD |
| O20050131000425 | O | Clinic/Group Practice | MS | TBD |
| O20220110001545 | O | Physician - Interventional Pain Management | MS | 2026-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36532)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.