Individual provider Active NPI

Frederick T Duggan, M.D.

  • Pulmonary Disease Physician
  • Meridian, MS
National Provider Identifier
1003893652
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
11716 Issued in MS
Practice address
1600 22ND Ave
Medical Towers III
Meridian, MS 39301-3223
Phone
(601) 483-5322
Fax
(601) 581-2289
NPI assigned
Dec 26, 2005
Last updated
Jun 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 11716 MS Primary

Addresses

Primary practice location

1600 22ND Ave
Medical Towers III
Meridian, MS 39301-3223

Mailing address

1600 22ND Ave
Medical Towers III
Meridian, MS 39301-3223
Phone (601) 483-5322

Other identifiers 1

IdentifierTypeStateIssuer
00014341MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080604000006 MS Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3678643681 Reassigns benefits to 11 organizations
I20190824000439 AL Practitioner - Pulmonary Disease 3678643681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Mississippi School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians

Practice addresses (Care Compare)

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 484-6700

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (504) 842-4431

1800 12TH St
Meridian, MS 39301-4158
Phone (601) 484-6700

2401 16TH St
Meridian, MS 39301-3950
Phone (601) 482-4181

6905 Hwy 145 S
Meridian, MS 39301-9771
Phone (601) 282-3271

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Regional Medical Center, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Rush Hospital/Butler, Inc CurrentSince May 1, 2019 Accepting new patients
Scott Regional Medical Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Rush Medical Foundation CurrentSince Feb 8, 2017 Accepting new patients
Rush Hospital/Butler, Inc CurrentSince Jan 1, 2026 Accepting new patients
Kemper Cah, Inc CurrentSince Jun 3, 2017 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Aug 21, 2023 Accepting new patients
Kemper Cah, Inc. Current Accepting new patients
Rush Care, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Laird Hospital, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Rush Medical Foundation Current Accepting new patients
Medical Foundation, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Scott Regional Medical Center, Inc Current Accepting new patients
Scott Regional Medical Center, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Kemper Cah, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Medical Foundation, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Rush Hospital/Butler, Inc CurrentSince May 1, 2019 Accepting new patients
Rush Hospital/Butler, Inc Current Accepting new patients
Laird Hospital, Inc. Current Accepting new patients
Laird Hospital, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Rush Medical Foundation CurrentSince Feb 8, 2017 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Aug 21, 2023 Accepting new patients
Meridian Hma LLC Past Accepting new patients
Meridian Hma LLC Past Accepting new patients
Anderson Physician Alliance, Inc. Past Accepting new patients
Rush Medical Foundation Past Accepting new patients

Locations

401 Vanity Fair Ave
Butler, AL 36904
Phone (205) 459-9100

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

317 Highway 13 S
Morton, MS 39117
Phone (601) 732-6301

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Networks

  • MS PPO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • MS PPO C-SNP
  • MS PPO D-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 27

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1003893652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 22ND AVE",
            "address_2": "MEDICAL TOWERS III",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013223",
            "telephone_number": "601-483-5322",
            "fax_number": "601-693-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 22ND AVE",
            "address_2": "MEDICAL TOWERS III",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013223",
            "telephone_number": "601-483-5322",
            "fax_number": "601-581-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "FREDERICK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-26",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "11716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00014341",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.