Gregory Thomas Stallworth, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

00578 Issued in MS

Practice address

1430 Hwy 4-East
Holly Springs, MS 38634

Phone

(662) 551-3369

Fax

(662) 551-3421

NPI assigned

Sep 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MedicineAlso: Internal Medicine

Education

Meharry Medical College School of Medicine, 1978

Medicare assignment

May accept Medicare assignment

Group practices

Alliance Healthcare System, IncGroup PAC ID 2961489547, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Home Care and Hospice North Mississippi Home health agency, Batesville, MS, CCN 257114
• Alliance Healthcare System, Inc Hospital, Holly Springs, MS, CCN 250174

Procedures performed for Medicare patients

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

• Alliance Healthcare System Inc

  dba Williams Medical Clinic

  • Rural Health Clinic/Center
  • Holly Springs, MS
  • NPI 1821143256
  Medicare reassignment Care Compare group NPD
• Coffee County Physician Group PC

  • Emergency Medicine Physician
  • Manchester, TN
  • NPI 1437164878

  MS

  Medicare reassignment NPD
• Alliance Healthcare System

  • General Acute Care Hospital
  • Holly Springs, MS
  • NPI 1801086574
  NPD
• Alliance Healthcare System, Inc

  • Psychiatric Hospital
  • Holly Springs, MS
  • NPI 1912182197
  NPD
• Alliance Healthcare System, Inc

  • General Acute Care Hospital
  • Holly Springs, MS
  • NPI 1043427206
  NPD (past)
• Alliance Healthcare System, Inc

  • General Acute Care Hospital
  • Holly Springs, MS
  • NPI 1295826337
  NPD (past)
• Tishomingo Health Services, Inc.

  dba Belmont Family Medical Clinic

  • Clinic/Center
  • Belmont, MS
  • NPI 1295105922
  NPD (past)

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

• Alliance Healthcare System, Inc

  • General Acute Care Hospital
  • Holly Springs, MS
  • NPI 1295826337
  Care Compare affiliation
• LHCG Xcviii, LLC

  dba Baptist Home Care & Hospice - North Mississippi

  • Home Health Agency
  • Batesville, MS
  • NPI 1275068959
  Care Compare affiliation

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043314057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 HWY 4-EAST",
            "address_2": "P.O. BOX 6000",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "38634",
            "telephone_number": "662-551-3369",
            "fax_number": "662-551-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HWY 4-EAST",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "38634",
            "telephone_number": "662-551-3369",
            "fax_number": "662-551-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "00578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116623",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittanie Jean Settlemires, NP
• Tracey Nicole Skelton, FNP-C
• Stephanie Mari Smith, MSN, FNP-C
• Terri Lynn Smithwick, R.N.
• Southeast Urology Network
• Jill McCallum Stephens, RPH
• Margaret Stinnett, D.M.D.
• Candice Stinson, BA
• Stubbs Chiropractic
• Kimberly Summerlin

• Emergency Medicine Physician in Holly Springs, MS
• Providers in Holly Springs, 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 Jul 8, 2007; 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.