James K Stanford, M.D.
Individual provider Active NPI Family Medicine Physician · Grenada, MS
NPI 1033220512 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1033220512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 12541 (MS)
- Practice address
- 1117 Sunset Dr
Suite 101
Grenada, MS 38901-4080 - Phone
- (662) 227-1744
- Fax
- (662) 226-1116
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stanford Medical Inc
Practice addresses (Care Compare)
1117 Sunset Dr
Suite 101
Grenada, MS 38901-4080
Hospital & facility affiliations
- Vitalcaring Group
- Accentcare Home Health of Greenwood
- Adoration Home Health Care Mississippi
- Mississippi Homecare of Eupora
- University of Mississippi Medical Center- Grenada
- Merit Health River Region
- Tallahatchie General Hospital-Cah
- Greenwood Leflore Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 88.22
- Promoting interoperability
- 77
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.91 of 100
- Quality
- 64.84
- Improvement activities
- 40
- Cost
- 63.25
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
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101110000986 | MS | Practitioner - Family Practice | 8820283369 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Mississippi, PLLC | Current |
Accepting new patients | |
| Stanford Medical Inc | Family Medicine | Current |
Accepting new patients |
| Fast Pace Mississippi, PLLC | Current |
Accepting new patients | |
| Joseph F Roberts MD PA | Current |
Accepting new patients |
Locations
1117 Sunset Dr
Ste 101
Grenada, MS 38901
Phone (662) 226-1168
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
Interoperability endpoints
- https://api.platform.athenahealth.com/24236/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/8ae75827-0f9b-457f-be6b-a17f2d896c19/
- james.stanford.1@24236.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12541 | MS | Yes |
Addresses
Primary practice location
1117 Sunset Dr
Suite 101
Grenada, MS 38901-4080
Mailing address
1117 Sunset Dr
Suite 101
Grenada, MS 38901-4080
Phone (662) 227-1744
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00125675 | Medicaid | MS |
Other providers in Grenada, MS
- Southern Hospitality Adult Daycare, LLC
- Southside Medical Clinic, LLC
- Tonesha Spearman
- Speech Pathology Services
- Stanford Medical Inc
- State of Mississippi - University of Mississippi Medical Center
- State of Mississippi - University of Mississippi Medical Center
- State of Mississippi - University of Mississippi Medical Center
- State of Mississippi-University of Mississippi Medical Center
- State of Mississippi-University of Mississippi Medical Center
All providers in Grenada, 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 Jul 8, 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.
- 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.