Active NPI
Chad Allen Rhoden, MD
- Family Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18656
- Practice address
- 3502 W Northside Dr
Jackson, MS 39213-4454 - Phone
- (601) 362-5321
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18656 | MS | Primary |
| Emergency Medicine Physician | 207P00000X | 18656 | MS |
Addresses
Primary practice location
3502 W Northside Dr
Jackson, MS 39213-4454
Mailing address
3502 W Northside Dr
Jackson, MS 39213-4454
Phone (601) 362-5321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05126830 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Attala Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Keystone Medical Services of Ms, Inc | Emergency Medicine | Current | Accepting new patients |
| App of Mississippi Ed, LLC | Emergency Medicine | Current | Accepting new patients |
| Houston County Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Houston County Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Trustcare Primary Care, LLC | Family Medicine | Past | Accepting new patients |
| Madison Hma Physician Management LLC | Past | Accepting new patients |
Locations
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
701 S Holly Ave
Collins, MS 39428
Phone (601) 765-3180
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311
54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100
100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1730687740
-
- Emergency Medicine Physician
- Kosciusko, MS
- NPI 1407103294
-
- Emergency Medicine Physician
- Hazlehurst, MS
- NPI 1174691059
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
-
- Emergency Medicine Physician
- Warner Robins, GA
- NPI 1013338193
-
- Emergency Medicine Physician
- Perry, GA
- NPI 1467873547
-
- Obstetrics & Gynecology Physician
- Canton, MS
- NPI 1740359249
-
- Family Medicine Physician
- Madison, MS
- NPI 1174078554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1043387764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 W NORTHSIDE DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392134454",
"telephone_number": "601-362-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 W NORTHSIDE DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392134454",
"telephone_number": "601-362-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODEN",
"first_name": "CHAD",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "18656",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "18656",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05126830",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.