Organization Active NPI

Neshoba Physicians Billing Service

Doing business as Neshoba County General Hospital Radiology Pro Fee

  • Diagnostic Radiology Physician
  • Philadelphia, MS
National Provider Identifier
1114383874
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NESHOBA PHYSICIANS BILLING SERVICE
Doing business as
Neshoba County General Hospital Radiology Pro Fee
Practice address
1001 Holland Ave
Philadelphia, MS 39350-2161
Phone
(601) 663-1269
Fax
(601) 663-1286
NPI assigned
Jan 12, 2016
Last updated
Feb 9, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
NESHOBA COUNTY GENERAL HOSPITAL DBA NESHOBA PHYSICIANS BILLING SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Scott Hester McNair
Title
Cfo
Phone
(601) 663-1233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1001 Holland Ave
Philadelphia, MS 39350-2161

Mailing address

1001 Holland Ave
PO Box 976
Philadelphia, MS 39350-2161
Phone (601) 663-1269

Other names 1

  • Neshoba County General Hospital Radiology Pro Fee Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040210000454 MS Part B Supplier - Clinic/Group Practice 4183518335 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Neshoba Physician Billing2 organizations share this tax ID, including this one
Part of
Neshoba Physician Billing

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1120 E Main St
Ste 3
Philadelphia, MS 39350
Phone (601) 650-3636

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1114383874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HOLLAND AVE",
            "address_2": "PO BOX 976",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502161",
            "telephone_number": "601-663-1269",
            "fax_number": "601-663-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HOLLAND AVE",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502161",
            "telephone_number": "601-663-1269",
            "fax_number": "601-663-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESHOBA PHYSICIANS BILLING SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NESHOBA COUNTY GENERAL HOSPITAL DBA NESHOBA PHYSICIANS BILLING SERVICE",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "MCNAIR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "HESTER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-663-1233"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neshoba County General Hospital Radiology Pro Fee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.