Placid M Eze, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16515 Issued in MS

Practice address

900 Stark Road
Starkville, MS 39759-2539

Phone

(662) 323-4400

Fax

(662) 323-4409

NPI assigned

Sep 30, 2005

Last updated

Feb 23, 2011By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Enrolled in MS, FL2 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

Family Practice

Education

Morehouse School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Family Health Center, IncGroup PAC ID 8628989654, shared by 46 NPIs, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Singing River Health System Hospital, Pascagoula, MS, CCN 250040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

Interoperability endpoints

• Direct secure messaging: placid.eze.p1@direct.cfhc.nextgenshare.com

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.

• Coastal Family Health Center, Inc

  dba Coastal Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Biloxi, MS
  • NPI 1629066782
  Medicare reassignment NPD
• Eze PS Family Medical Clinic

  dba Eze P's Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Starkville, MS
  • NPI 1033689690
  Authorized official Same address or phone
• Eze PS Family Medical Clinic

  dba Eze P's Medical Supply

  • Family Medicine Physician
  • Starkville, MS
  • NPI 1780809251
  Authorized official Same address or phone
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc Central Elementary

  • Federally Qualified Health Center (FQHC)
  • Lucedale, MS
  • NPI 1427842913
  NPD
• Coastal Family Health Center, Inc.

  dba Coastal Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Moss Point, MS
  • NPI 1679581599
  NPD
• Coastal Family Health Center, Inc

  dba Coastal Family Health Center, Inc - Lucedale Clinic

  • Federally Qualified Health Center (FQHC)
  • Lucedale, MS
  • NPI 1861950982
  NPD (past)

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

• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937

  Hospital

  Care Compare affiliation
• Singing River Health System

  • General Acute Care Hospital
  • Pascagoula, MS
  • NPI 1124136593
  Care Compare affiliation

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1083601538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STARK ROAD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592539",
            "telephone_number": "662-323-4400",
            "fax_number": "662-323-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STARK ROAD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592539",
            "telephone_number": "662-323-4400",
            "fax_number": "662-323-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZE",
        "first_name": "PLACID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIABETES SELF MANAGEMENT TREATMENT CENTER",
            "identifier": "192773",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID COMMERCIAL CARRIER",
            "identifier": "640940768",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09728046",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122361",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye & Laser Center of Starkville PLLC
• Eyedeal Optical Outlet Inc.
• Eze PS Family Medical Clinic (Eze P's Medical Supply)
• Eze PS Family Medical Clinic (Eze P's Medical Supply)
• Athelia Balams Eze, PHARM.D.
• Maggie Martin Fair, F.N.P.
• Families First Home Care Services LLC
• Catherine Randall Fandel, DPT
• Jacob Keith Fanning, DMD
• Anna Farmer

• Family Medicine Physician in Starkville, MS
• Providers in Starkville, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.