Taylor Phillips Mathis, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

24399 Issued in MS

Practice address

1211 S Gloster St
Suite a
Tupelo, MS 38801

Phone

(662) 767-4200

Fax

(662) 767-4204

NPI assigned

Jun 30, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, MS2 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 2

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

University of Mississippi School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Orthopedic Group of Mississippi PLLCGroup PAC ID 3577878883, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
• Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
• Marion Regional Medical Center Hospital, Hamilton, AL, CCN 010044
• Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044
• Clay County Medical Corporation Hospital, West Point, MS, CCN 250067

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: taylormathis@nmhs.medalliesdirect.net

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.

• Specialty Orthopedic Group of Mississippi PLLC

  • Orthopaedic Surgery Physician
  • Tupelo, MS
  • NPI 1639553506

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• STV Sports Medicine & Orthopedics LLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Birmingham, AL
  • NPI 1467818575

  Multi-Specialty

  Medicare reassignment NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• Specialty Orthopedic Group of Mississippi PLLC

  • Orthopaedic Surgery Physician
  • Senatobia, MS
  • NPI 1801491352

  Multi-Specialty

  NPD
• STV Sports Medicine & Orthopedics LLC

  • Durable Medical Equipment & Medical Supplies
  • Pelham, AL
  • NPI 1770365504

  Orthopaedic Surgery

  NPD

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

• Baptist Memorial Hospital-Booneville, Inc.

  • General Acute Care Hospital
  • Booneville, MS
  • NPI 1396709978
  Care Compare affiliation
• Clay County Medical Corporation

  • General Acute Care Hospital
  • West Point, MS
  • NPI 1639284409
  Care Compare affiliation
• Gilbert'S Home Health Agency, Inc.

  • Home Health Agency
  • Tupelo, MS
  • NPI 1972509099
  Care Compare affiliation
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation
• Marion Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hamilton, AL
  • NPI 1932160082
  Care Compare affiliation

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1053622498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S GLOSTER ST",
            "address_2": "SUITE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S GLOSTER ST",
            "address_2": "SUITE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 S Montgomery St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397593337",
            "country_code": "US",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "TAYLOR",
        "middle_name": "PHILLIPS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "24399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07387848",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chester Warren Masterson III
• Louis Masur III, PHD
• Dan Robbins Mathews Jr., D.C
• Mathis Dental, LLC
• John Mathis, DMD
• John Mark Matthews, MD
• Kimberly M Matthews
• Rachel Corey Mauldin, NP
• Heather L Mauney, COTA
• Amanda Maxcy, LPN

• Orthopaedic Surgery Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Orthopaedic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.

Verify at the official NPI Registry.