Individual provider Active NPI

Stephen K Otey, MD

  • Obstetrics & Gynecology Physician
  • Amory, MS
National Provider Identifier
1104977560
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15322 Issued in MS
Practice address
900 Earl Frye Blvd
Suite a
Amory, MS 38821-5507
Phone
(662) 256-9331
Fax
(662) 597-6008
NPI assigned
Jan 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 15322 MS Primary

Addresses

Primary practice location

900 Earl Frye Blvd
Suite a
Amory, MS 38821-5507

Mailing address

900 Earl Frye Blvd
Suite a
Amory, MS 38821-5507
Phone (662) 256-9331

Other identifiers 1

IdentifierTypeStateIssuer
00118577MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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

Enrollment IDStateProvider typePAC IDDetails
I20070730000275 MS Practitioner - Obstetrics/Gynecology 0042311417 Reassigns benefits to 2 organizations
I20240423000818 TN Practitioner - Obstetrics/Gynecology 0042311417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
East Tennessee State University Quillen College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pands Clinic OB-GYN, PLLCGroup PAC ID 5890896252, 15 clinicians

Practice addresses (Care Compare)

2429 5TH St N
Columbus, MS 39705-2005
Phone (662) 328-9331

900 Earl Frye Blvd
Suite a
Amory, MS 38821-5507
Phone (662) 256-9331

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28856TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC CurrentSince Apr 1, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
P & S Clinic OB-GYN PLLC Obstetrics & Gynecology CurrentSince Jun 1, 2007 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Apr 1, 2024 Accepting new patients
Monroe Health Services, Inc. Past Accepting new patients

Locations

900 Earl Frye Blvd
Ste A
Amory, MS 38821
Phone (662) 256-9331

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

186 Hospital Rd
Ste 200
Winchester, TN 37398
Phone (931) 962-9035

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Interoperability endpoints

  • Direct secure messaging: stephenotey@nmhs.medalliesdirect.net
  • Direct secure messaging: kam_otey_md_obgyn@yourcarecommunity.org
  • Direct secure messaging: stephen.otey.1@20688.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1104977560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD",
            "address_2": "SUITE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-256-9331",
            "fax_number": "662-597-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD",
            "address_2": "SUITE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-256-9331",
            "fax_number": "662-597-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTEY",
        "first_name": "STEPHEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "15322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118577",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

Verify at the official NPI Registry.