Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gulf States Physical Medicine & Rehabilitation

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1033271416

Gulf States Physical Medicine & Rehabilitation is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

1190 N State St Ste 202
Jackson, MS 39202-2413
Phone: (601) 968-0894
Fax: (601) 968-0896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X (MS)

Record details

NPI number1033271416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Grissett — Manager · (601) 944-1717
NPI enumeratedDecember 14, 2006
Last updated in NPPESJanuary 13, 2015
Mailing address1190 N State St, Suite 202, Jackson, MS 39202-2413

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