Active NPI
Rachael W. Faught, D.O.
- Internal Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- T-2308
- Practice address
- 2500 N State St
Department of Medicine
Jackson, MS 39216-4500 - Phone
- (601) 984-5601
- Fax
- (601) 984-6665
- NPI assigned
- Jul 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | T-2308 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Department of Medicine
Jackson, MS 39216-4500
Mailing address
2500 N State St
Department of Medicine
Jackson, MS 39216-4500
Phone (601) 984-5601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T-2308 | Other | MS | MS TEMPORARY MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Mississippi - University of Mississippi Medical Center
Practice addresses (Care Compare)
960 Avent Dr
Grenada, MS 38901-5230
Phone (662) 227-7000
965 Avent Dr
Grenada, MS 38901-5045
Phone (662) 227-7444
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-2308 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi-University of Mississippi Medical Center | Current | Accepting new patients | |
| Grenada Physician Services, LLC | Current | Accepting new patients | |
| Greenwood Leflore Hospital | Internal Medicine | Current | Accepting new patients |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi-University of Mississippi Medical Center | Current | Accepting new patients |
Locations
504 Clinton Center Dr
Ste 4300
Clinton, MS 39056
1401 River Rd
#2E
Greenwood, MS 38930
Phone (662) 451-7881
1401 River Rd
Fl 2
Greenwood, MS 38930
Phone (662) 451-7881
965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000
960 Avent Dr
#J
Grenada, MS 38901
Phone (662) 227-6450
960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321
Networks
- LA PPO C-SNP
Interoperability endpoints
- rfaught9607@ummc.direct-ci.com
- rachael.faught@scs-direct.glh.org
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Grenada, MS
- NPI 1932762721
-
- Multi-Specialty Clinic/Center
- Greenwood, MS
- NPI 1205805918
Internal Medicine
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Certified Registered Nurse Anesthetist
- Grenada, MS
- NPI 1831520691
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
-
- Family Medicine Physician
- Grenada, MS
- NPI 1932538527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
-
- Psychiatric Hospital
- Grenada, MS
- NPI 1083041917
-
- General Acute Care Hospital
- Grenada, MS
- NPI 1558798603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1043522352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "DEPARTMENT OF MEDICINE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5601",
"fax_number": "601-984-6665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "DEPARTMENT OF MEDICINE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5601",
"fax_number": "601-984-6665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUGHT",
"first_name": "RACHAEL",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-02",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "T-2308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS TEMPORARY MEDICAL LICENSE",
"identifier": "T-2308",
"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 Jul 2, 2010; 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.