NPIMap

Individual provider Active NPI

Jay Michael Culpepper, M.D.

  • Orthopaedic Surgery Physician
  • Greenwood, MS
National Provider Identifier
1033346168
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
23655 Issued in MS
Practice address
204 8TH St
Greenwood, MS 38930-4012
Phone
(662) 453-0504
NPI assigned
Jun 16, 2009
Last updated
Mar 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 23655 MS Primary

Addresses

Primary practice location

204 8TH St
Greenwood, MS 38930-4012

Mailing address

PO Box 1410
Greenwood, MS 38935-1410
Phone (662) 453-0504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622001760 MS Practitioner - Orthopedic Surgery 7214248970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Mississippi School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwood Leflore HospitalGroup PAC ID 8527080860, 2 clinicians

Practice addresses (Care Compare)

204 8TH St
Greenwood, MS 38930-4012
Phone (662) 453-0504

785 Ohio Ave
Suite 1H
Clarksdale, MS 38614-6213
Phone (662) 627-2509

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.44 of 100Reported as group
Quality
78.21
Improvement activities
40
Cost
71.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Miss Regional Medical Center Orthopaedic Surgery CurrentSince Nov 1, 2024 Accepting new patients
Greenwood Leflore Hospital Orthopaedic Surgery CurrentSince Jun 1, 2015 Accepting new patients
Northwest Miss Regional Medical Center CurrentSince Nov 1, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Greenwood Leflore Hospital Orthopaedic Surgery CurrentSince Jun 1, 2015 Accepting new patients

Locations

1970 Hospital Dr
Clarksdale, MS 38614
Phone (662) 624-3185

785 Ohio Ave
Ste 1H
Clarksdale, MS 38614
Phone (662) 621-2438

204 8th St
Greenwood, MS 38930
Phone (601) 453-0503

Interoperability endpoints

  • Direct secure messaging: jay.culpepper.1@29904.direct.athenahealth.com
  • Direct secure messaging: jay.culpepper.p1@direct.glh.nextgenshare.com
  • Direct secure messaging: jay.culpepper@scs-direct.glh.org
  • Direct secure messaging: nwmjculpe@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1033346168",
    "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": "662-453-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 8TH ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304012",
            "telephone_number": "662-453-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "23655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.