Timothy J Alford, MD
Individual provider Active NPI Family Medicine Physician · Kosciusko, MS
NPI 1023070067 · NPPES record last updated Aug 17, 2007
Key facts
- NPI
- 1023070067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 10237 (MS)
- Practice address
- 332 Highway 12 W
Kosciusko, MS 39090-3209 - Phone
- (662) 289-1800
- Fax
- (662) 289-2486
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Attala Emergency Group LLC
Premier Medical Group of Mississippi LLC
Practice addresses (Care Compare)
220 Hwy 12 W
Kosciusko, MS 39090-3208
Phone (662) 289-4311
300 B S Pearl St
Carthage, MS 39051-4108
Phone (601) 298-0333
332 Hwy 12 W
Kosciusko, MS 39090-3209
Phone (662) 289-1800
340 Hwy 12 W
Kosciusko, MS 39090-3209
Phone (662) 289-3588
Hospital & facility affiliations
- Baptist Medical Center Attala
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Baptist Medical Center - Attala |
Hospital | Corporate Director | Jun 1, 2015 |
| Baptist Medical Group - Kosciusko Primary Care |
Rural health clinic | Corporate Director | Jan 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061005000564 | MS | Practitioner - Family Practice |
3577569094 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalists of Ms, LLC | Current |
Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current |
Accepting new patients | |
| Premier Medical Group of Mississippi LLC | Past | Accepting new patients |
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311
54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100
1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000
Interoperability endpoints
- timothy.alford.1@27768.direct.athenahealth.com
- talfors172965@direct.bmhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10237 | MS | Yes |
Addresses
Primary practice location
332 Highway 12 W
Kosciusko, MS 39090-3209
Mailing address
332 Highway 12 W
Kosciusko, MS 39090-3209
Phone (662) 289-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115762 | Medicaid | MS |
Other providers in Kosciusko, MS
- Adara Healthcare LLC
- Sridevi Alla
- Amaris Medical Group, LLC
- Angela M Thomas, O.D., Inc.
- Attala Community Care Center LLC
- Attala Discount Drugs
All providers in Kosciusko, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.