Legal
Notice of Privacy Practices
Effective Date: June 21, 2026 · Restore Pain Center / Physician Practice Operations Group, PLLC
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
Who We Are
Restore Pain Center, LLC is a clinical administrative services organization. All physician services are provided by Physician Practice Operations Group, PLLC ("PPOG"). Together, Restore Pain Center and PPOG (collectively "we," "us," or "our") are committed to protecting the privacy of your health information and complying with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations.
Our practice is located at 7306 US Hwy 11, Carriere, MS 39426. You may contact us by phone at (601) 840-8004 or by email at Info@RestorePainCenter.com.
Our Duties Regarding Your Health Information
We are required by law to maintain the privacy of your protected health information (PHI), to provide you with this Notice of our legal duties and privacy practices, and to notify you if a breach occurs that may have compromised the privacy or security of your information. We are required to abide by the terms of this Notice currently in effect.
How We May Use and Disclose Your Health Information
The following describes the ways we may use and disclose your health information. Not every use or disclosure in a category will be listed; however, all of the ways we are permitted to use and disclose information will fall within one of the following categories.
Treatment
We may use or disclose your health information to provide, coordinate, or manage your medical treatment or services. For example, we may share information with other physicians who are treating you, or with specialists to whom we refer you.
Payment
We may use and disclose your health information to obtain payment for services we provide to you. For example, we may submit claims to your health insurance plan describing your diagnosis and treatment.
Health Care Operations
We may use and disclose your health information for our health care operations, such as quality assessment, staff training, accreditation, licensing, and business management activities.
Appointment Reminders
We may use and disclose your health information to contact you as a reminder that you have an appointment for treatment or medical care.
As Required by Law
We will disclose your health information when required to do so by federal, state, or local law, including disclosures to public health authorities, law enforcement, and oversight agencies.
Prescription Drug Monitoring Program (PDMP)
As a pain management practice, we are required by Mississippi law to report prescriptions for controlled substances to the Mississippi Prescription Monitoring Program (PMP). We may also query the PMP before prescribing controlled substances to you.
Uses and Disclosures Requiring Your Authorization
Other uses and disclosures of your health information not covered by this Notice or applicable law will be made only with your written authorization. This includes, but is not limited to, most uses and disclosures of psychotherapy notes, uses and disclosures of your health information for marketing purposes, and sales of your health information. You may revoke an authorization at any time in writing, except to the extent that we have already taken action in reliance on the authorization.
Your Rights Regarding Your Health Information
You have the following rights with respect to your health information. To exercise any of these rights, please submit a written request to our Privacy Officer at the address or email listed below.
| Your Right | Description |
|---|---|
| Right to Access | You have the right to inspect and obtain a copy of your health information that we maintain, with limited exceptions. We may charge a reasonable fee for copies. |
| Right to Amend | If you believe the health information we have about you is incorrect or incomplete, you may request that we amend it. We may deny the request under certain circumstances. |
| Right to an Accounting of Disclosures | You have the right to request a list of certain disclosures we have made of your health information within the past six years. |
| Right to Request Restrictions | You have the right to request restrictions on how we use or disclose your health information for treatment, payment, or health care operations. We are not required to agree to your request in most cases. |
| Right to Request Confidential Communications | You have the right to request that we communicate with you about your health information in a certain way or at a certain location (e.g., only by mail to a specific address). |
| Right to a Paper Copy of This Notice | You have the right to a paper copy of this Notice at any time, even if you have agreed to receive it electronically. |
| Right to Receive Notice of Breach | You have the right to receive notification in the event of a breach of your unsecured protected health information. |
Information Submitted Through Our Website
When you submit an appointment request or contact form on our website, we collect your name, phone number, email address, and a description of your condition or inquiry. This information is transmitted securely to our staff and used solely to respond to your request and coordinate your care. We do not sell, rent, or share this information with third parties for marketing purposes.
How to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. To file a complaint with us, contact our Privacy Officer in writing at the address below. We will not retaliate against you for filing a complaint.
To file a complaint with the U.S. Department of Health and Human Services, visit www.hhs.gov/ocr/privacy/hipaa/complaints or call 1-800-368-1019.
Contact Our Privacy Officer
Restore Pain Center / PPOG Privacy Officer
7306 US Hwy 11, Carriere, MS 39426
Phone: (601) 840-8004
Email: Info@RestorePainCenter.com
Changes to This Notice
We reserve the right to change this Notice at any time. We reserve the right to make the revised or changed Notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice on our website and make copies available at our office.
This Notice of Privacy Practices is effective June 21, 2026.
Restore Pain Center, LLC · Physician Practice Operations Group, PLLC · 7306 US Hwy 11, Carriere, MS 39426