John Coleman, MD
Individual provider Active NPI Internal Medicine Physician · Forest, MS
NPI 1063945475 · NPPES record last updated Nov 22, 2023
Key facts
- NPI
- 1063945475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 27688 (MS)
- Practice address
- 505 Airport Rd Ste B
Forest, MS 39074-4030 - Phone
- (601) 469-4771
- Fax
- (601) 469-4724
- NPI assigned
- Apr 4, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Mississippi School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Independent Healthcare Management Inc
Practice addresses (Care Compare)
1123 Hwy 35 S
Suite 3
Forest, MS 39074-8829
Phone 6014694151356
Hospital & facility affiliations
- Accentcare Home Health of Carthage
- Centerwell Home Health
- Mississippi Homecare of Jackson
- Enhabit Home Health
- Accentcare Hospice & Palliative Care of Ms
- Infinity Hospice, LLC Dba Acg Hospice - Carthage
- Homecare Hospice South, LLC Dba Legacy Hospice of the South
- S E Lackey Memorial Hospital
- Magee General Hospital
- Ochsner Scott Regional
- Bedford Care Center of Newton
- Ms Care Center of Raleigh
- Ms Care Center of Morton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200727001082 | MS | Practitioner - Internal Medicine | 6406129188 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Healthcare Management, Inc. | Current |
Accepting new patients | |
| Independent Healthcare Management, Inc. | Current |
Accepting new patients | |
| Independent Healthcare Management, Inc. | Current |
Accepting new patients | |
| Scott County LTC, Inc. | Past | Accepting new patients | |
| Smith County LTC, LLC | Past | Accepting new patients | |
| Bedford Care Center of Newton, LLC | Past | Accepting new patients |
Locations
505 Airport Rd
Ste B
Forest, MS 39074
Phone (601) 469-4771
330 N Broad St
Forest, MS 39074
Phone (601) 469-4151
330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151
100 Pioneer Way
Magee, MS 39111
Phone 6018496440245
110 Pioneer Way
Magee, MS 39111
342 Magnolia Dr
Raleigh, MS 39153
Phone (601) 782-5665
Networks
- LA PPO C-SNP
Interoperability endpoints
- john.coleman@phspch.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 27688 | MS | Yes |
Addresses
Primary practice location
505 Airport Rd Ste B
Forest, MS 39074-4030
Mailing address
3500 Lakeland Dr Ste 515
Flowood, MS 39232-3017
Phone (601) 939-2978
Other providers in Forest, MS
- Brusha Home Care Service
- Brusha Home Care Services
- Myna Laquisha Burks
- Christopher Butler
- Kelly Atkinson Chambers
- Cathy G Cooper
- Cottonwood Manor II
- Kristi M Cox
- Nancy G Culliver
- Temeka Denson
All providers in Forest, MS · Internal Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.