Active NPI
Paula J Spence-Evans, M.D.
- Emergency Medicine Physician
- Greenwood, MS
National Provider Identifier
1013057645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 10892
- Practice address
- 1401 River Rd
Greenwood, MS 38930-4030 - Phone
- (662) 459-2613
- Fax
- (662) 459-1159
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 10892 | MS | Primary |
Addresses
Primary practice location
1401 River Rd
Greenwood, MS 38930-4030
Mailing address
PO Box 1410
Greenwood, MS 38935-1410
Phone (662) 459-2613
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09013096 | Medicaid | MS | |
| 09012361 | Medicaid | MS | |
| 00014115 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101018000966 | MS | Practitioner - Emergency Medicine | 0446443832 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Meharry Medical College School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greenwood Leflore Hospital
Practice addresses (Care Compare)
1401 River Rd
Greenwood, MS 38930-4030
Phone (662) 459-2603
Hospital & facility affiliations
- Greenwood Leflore Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.13 of 100
- Quality
- 36.48
- Improvement activities
- 40
- Cost
- 76.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10892 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Mississippi Radiology | Current | Accepting new patients | |
| Sunder Jagwani MD PA | Current | Accepting new patients |
Locations
1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
MS
-
- Rural Health Clinic/Center
- Itta Bena, MS
- NPI 1003875394
-
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1457587610
-
- Specialist
- Greenwood, MS
- NPI 1275725590
-
- Body Imaging Physician
- Greenwood, MS
- NPI 1033318985
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013057645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1410",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389351410",
"telephone_number": "662-459-2613",
"fax_number": "662-459-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 RIVER RD",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389304030",
"telephone_number": "662-459-2613",
"fax_number": "662-459-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE-EVANS",
"first_name": "PAULA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "10892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09013096",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09012361",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00014115",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.