Individual provider Active NPI

Nuray Metin, MD

  • Pediatrics Physician
  • Southhaven, MS
National Provider Identifier
1053428060
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14759 Issued in MS
Practice address
7676 Southcrest Pkwy
Southhaven, MS 38671
Phone
(667) 349-6577
Fax
(662) 349-6562
NPI assigned
Aug 24, 2006
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 14759 MS Primary

Addresses

Primary practice location

7676 Southcrest Pkwy
Southhaven, MS 38671

Mailing address

104 Court St
Senatobia, MS 38668
Phone (662) 562-4418

Other practice location 1

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 636-1090

Other identifiers 1

IdentifierTypeStateIssuer
00116251MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923000317 MS Practitioner - Pediatric Medicine 2062897275 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14759MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Medical Corporation CurrentSince Apr 29, 2024 Accepting new patients
Clay County Medical Corporation CurrentSince Apr 29, 2024 Accepting new patients
Baptist Memorial Medical Group Inc Pediatrics CurrentSince Jun 15, 2022 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Dec 7, 2024 Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Dec 7, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jun 15, 2022 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc Past Accepting new patients
Baptist Memorial Hospital-Desoto, Inc, Past Accepting new patients
Sidhu Pediatrics, LLC Pediatrics Past Accepting new patients
Sidhu Pediatrics, LLC Pediatrics Past Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. Past Accepting new patients
Clay County Medical Corporation Past Accepting new patients
Sidhu Pediatrics, LLC Pediatrics Past Accepting new patients
Methodist Healthcare - Olive Branch Hospital Past Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

977 Emergency Dr
West Point, MS 39773
Phone (662) 494-4600

Interoperability endpoints

  • Direct secure messaging: metin_nuray_md@yourcarecommunity.org
  • Direct secure messaging: nmetin31393@mlh.direct-ci.com
  • Direct secure messaging: nuraymetin@nmhs.medalliesdirect.net

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1053428060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 COURT ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "38668",
            "telephone_number": "662-562-4418",
            "fax_number": "662-562-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 SOUTHCREST PKWY",
            "city": "SOUTHHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "667-349-6577",
            "fax_number": "662-349-6562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Belk Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555242",
            "country_code": "US",
            "telephone_number": "662-636-1090",
            "fax_number": "662-636-1676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METIN",
        "first_name": "NURAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "14759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116251",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southhaven, MS

Sources for this page

Verify at the official NPI Registry.