Tarence E Wade, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

11435 Issued in MS

Practice address

960 Avent Dr
Grenada, MS 38901-5230

Phone

(662) 227-7172

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Panola Physician Group LLCGroup PAC ID 2668715624, 14 clinicians

Grenada Emergency Group, LLCGroup PAC ID 2163854225, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168
• Northwest Missississippi Regional Medical Center Hospital, Clarksdale, MS, CCN 250042
• Panola Medical Center Hospital, Batesville, MS, CCN 250781

Merit-based Incentive Payment System (MIPS)

Final score

80.87 of 100Reported as group

Quality

60.45

Promoting interoperability

77

Improvement activities

40

Cost

68.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Grenada Emergency Group, LLC

  • Emergency Medicine Physician
  • Grenada, MS
  • NPI 1194388082
  Medicare reassignment Care Compare group NPD
• Panola Physician Group, LLC

  • Family Medicine Physician
  • Batesville, MS
  • NPI 1528528874
  Medicare reassignment Care Compare group NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  MS

  Medicare reassignment Care Compare group NPD
• Coffee County Physician Group PC

  • Emergency Medicine Physician
  • Manchester, TN
  • NPI 1437164878

  MS

  Medicare reassignment NPD
• Panola Physician Group, LLC

  • Pain Clinic/Center
  • Tupelo, MS
  • NPI 1790385417
  NPD
• Clarksdale Hma LLC

  • Anesthesiology Physician
  • Clarksdale, MS
  • NPI 1386679744
  NPD (past)
• PHC-Cleveland LLC

  • Anesthesiology Physician
  • Cleveland, MS
  • NPI 1528158532
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Miss Regional Medical Center

  • General Acute Care Hospital
  • Clarksdale, MS
  • NPI 1275217606
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  • Psychiatric Hospital
  • Grenada, MS
  • NPI 1083041917
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  • General Acute Care Hospital
  • Grenada, MS
  • NPI 1558798603
  Care Compare affiliation
• Strategic Solutions-Panola Medical Center LLC

  • Rural Acute Care Hospital
  • Batesville, MS
  • NPI 1053873307
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1043246259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 AVENT DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015230",
            "telephone_number": "662-227-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "TARENCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "11435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115897",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vascular and Vein Institute of the South, PLLC
• Jeremy Villalobos
• Viner Counseling Center
• Russell Shane Viner, L.P.C.
• W. Boyd Massey, M.D., P.a.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walls Vision Center LLC
• Christopher Thomas Walls, O.D.

• Emergency Medicine Physician in Grenada, MS
• Providers in Grenada, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.

Verify at the official NPI Registry.