Active NPI
Wayne Shannon Orr III, M.D.
- Surgical Oncology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 21415
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 984-5452
- Fax
- (601) 815-3322
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | P6488 | TX | |
| Surgical Oncology Physician | 2086X0206X | 21415 | MS | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5452
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02102268 | Medicaid | MS | |
| 333731301 | Medicaid | TX |
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Mississippi School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775
Hospital & facility affiliations
- University of Mississippi Med Center
- Merit Health Madison
- University of Mississippi Medical Center- Grenada
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 28 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (6 of 17)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| University Physicians, PLLC | Past | Accepting new patients |
Locations
161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
2500 N State St
Ste 4200
Jackson, MS 39216
2500 N State St
Ste K
Jackson, MS 39216
239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321
215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180
Networks
- MS PPO C-SNP
- TN PPO
- LA PPO C-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- AL HMO D-SNP
- MS PPO
- AL HMO
- TN PPO C-SNP
- MS PPO D-SNP
Interoperability endpoints
- worr57904@ummc.direct-ci.com
Organizations & group practices 6
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
- Jackson, MS
- NPI 1154317527
-
- Obstetrics & Gynecology Physician
- McComb, MS
- NPI 1982174488
-
- Rural Health Clinic/Center
- Summit, MS
- NPI 1154008811
-
- Family Medicine Physician
- McComb, MS
- NPI 1366066060
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1609984574
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- General Acute Care Hospital
- Canton, MS
- NPI 1194770404
-
- Psychiatric Hospital
- Grenada, MS
- NPI 1083041917
-
- General Acute Care Hospital
- Grenada, MS
- NPI 1558798603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1013132406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5452",
"fax_number": "601-815-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5452",
"fax_number": "601-815-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORR",
"first_name": "WAYNE",
"middle_name": "SHANNON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "TX",
"license": "P6488",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "MS",
"license": "21415",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02102268",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "333731301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.