Caleb Buckner, MD
Individual provider Active NPI Psychiatry Physician · Whitfield, MS
NPI 1093566465 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1093566465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- T-5220 (MS)
- Practice address
- PO Box 157a
Whitfield, MS 39193-0157 - Phone
- (601) 351-8555
- NPI assigned
- Apr 1, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20240816002421 | MS | Order and Referring Only - Psychiatry |
1355889684 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | T-5220 | MS | Yes |
Addresses
Primary practice location
PO Box 157a
Whitfield, MS 39193-0157
Mailing address
PO Box 711
Bolton, MS 39041-0711
Phone (662) 418-7819
NPI Registry JSON
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1093566465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711",
"city": "BOLTON",
"state": "MS",
"postal_code": "390410711",
"telephone_number": "662-418-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 157A",
"city": "WHITFIELD",
"state": "MS",
"postal_code": "391930157",
"telephone_number": "601-351-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKNER",
"first_name": "CALEB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-01",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "T-5220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitfield, MS
- Sierra Barnes
- Raviteja Bethi
- Mariah Maxine Bohl
- Elizabeth P Bragg
- Edward A Brewer Jr.
- Andre Paul Buteau
- Cassandra T. Butler
- Katherine Willoughby Carter
- Adam Chen
- Juletta Chisholm
All providers in Whitfield, MS · Psychiatry 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 Jul 8, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.