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 IDStateProvider typePAC IDDetails
I20240816002421 MS Order and Referring Only - Psychiatry
Practitioner - Internal Medicine
Practitioner - Psychiatry
1355889684

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2025.

{
    "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

All providers in Whitfield, MS · Psychiatry Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.