Individual provider Active NPI

Burton Price, MD

  • Obstetrics & Gynecology Physician
  • Greenwood, MS
National Provider Identifier
1073572251
Registry record updated Mar 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17912 Issued in MS
Practice address
203 9TH St
Greenwood, MS 38930-4015
Phone
(662) 459-1367
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17912 MS Primary

Addresses

Primary practice location

203 9TH St
Greenwood, MS 38930-4015

Mailing address

PO Box 1410
Attn: Clinic Administration
Greenwood, MS 38935-1410
Phone (662) 459-7189

Other identifiers 2

IdentifierTypeStateIssuer
06725783MedicaidMS
P00004486OtherMSMEDICARE RAILROAD

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
I20100927000752 MS Practitioner - Obstetrics/Gynecology 0143346262 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrics Gynecology Associates PA Obstetrics & Gynecology CurrentSince May 1, 2016 Accepting new patients
Sanders Clinic for Women PA Obstetrics & Gynecology CurrentSince Mar 20, 2017 Accepting new patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince May 30, 2015 Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1041 S Madison St
Tupelo, MS 38801
Phone (601) 844-8754

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

1793 Cliff Gookin Blvd
Tupelo, MS 38801
Phone (662) 842-1161

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13706/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206748800000",
    "number": "1073572251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "address_2": "ATTN: CLINIC ADMINISTRATION",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389351410",
            "telephone_number": "662-459-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 9TH ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304015",
            "telephone_number": "662-459-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "BURTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "17912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06725783",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00004486",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.