Individual provider Active NPI

Nathan Philip McIntosh, M.D.

  • Emergency Medicine Physician
  • Ridgeland, MS
National Provider Identifier
1053540617
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
21713 Issued in MS
Practice address
212 Draperton CT
Ridgeland, MS 39157-3905
Phone
(769) 300-9040
NPI assigned
Jul 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T-2223 MS
Emergency Medicine Physician 207P00000X 21713 MS Primary

Addresses

Primary practice location

212 Draperton CT
Ridgeland, MS 39157-3905

Mailing address

212 Draperton CT
Ridgeland, MS 39157-3905
Phone (769) 300-9040

Other practice location 1

2172 Bellcrest Cir
Royal Palm Beach, FL 33411-6123
Phone (769) 300-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20111206000467 MS Practitioner - Emergency Medicine 4385819176 Reassigns benefits to 3 organizations
I20221116000048 FL Practitioner - Family PracticePractitioner - Emergency Medicine 4385819176 Reassigns benefits to 1 organization
I20230810003815 AL Practitioner - Emergency Medicine 4385819176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Mississippi School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Emergency Physicians, LLCGroup PAC ID 3173582624, 41 clinicians
Ies Alabama PLLCGroup PAC ID 5395105183, 23 clinicians

Practice addresses (Care Compare)

123 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 469-2313

1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 949-3540

Hospital & facility affiliations

  • Baldwin Health Hospital, Foley, AL, CCN 010083
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
93.19
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21713MSMDEmergency Medicine Physician
T-2223MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Ies Alabama PLLC Emergency Medicine CurrentSince Jul 9, 2023 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Nov 6, 2011 Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 15, 2023 Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine Current Accepting new patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Aug 16, 2023 Accepting new patients

Locations

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

3590 Gulf Shores Pkwy
Gulf Shores, AL 36542
Phone (251) 215-4853

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1053540617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 DRAPERTON CT",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573905",
            "telephone_number": "769-300-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 DRAPERTON CT",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573905",
            "telephone_number": "769-300-9040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2172 Bellcrest Cir",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334116123",
            "country_code": "US",
            "telephone_number": "769-300-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "NATHAN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-03",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "T-2223",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "21713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.