Shipp & Wooten Eye Center PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

19893 Issued in MS

Legal business name

SHIPP & WOOTEN EYE CENTER PLLC

Practice address

306 Bradley Rd Ste B
Corinth, MS 38834-7047

Phone

(662) 286-6068

Fax

(662) 286-0188

NPI assigned

Apr 3, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Michael Patrick Coleman, BSOE

Title

Administrator

Phone

(662) 286-2020

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• Direct secure messaging: bshipp@shippwooteneyecenter.intellechartdirect.net
• Direct secure messaging: jshipp@shippwooteneyecenter.intellechartdirect.net
• Direct secure messaging: dwooten@shippwooteneyecenter.intellechartdirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Rivers Shipp, M. D.

  • Ophthalmology Physician
  • Jackson, MS
  • NPI 1538379789
  Medicare reassignment Care Compare group NPD
• Darwin Beshan Wooten, M.D.

  • Ophthalmology Physician
  • Corinth, MS
  • NPI 1275557613
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1043716665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 BRADLEY RD STE B",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347047",
            "telephone_number": "662-286-6068",
            "fax_number": "662-286-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BRADLEY RD STE B",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347047",
            "telephone_number": "662-286-6068",
            "fax_number": "662-286-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPP & WOOTEN EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-286-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSOE"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "19893",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "06029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwooten@shippwooteneyecenter.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "306 Bradley Rd Ste B",
            "city": "Corinth",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388347047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bshipp@shippwooteneyecenter.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "306 Bradley Rd Ste B",
            "city": "Corinth",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388347047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshipp@shippwooteneyecenter.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "306 Bradley Rd Ste B",
            "city": "Corinth",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388347047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ophthalmology Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.