NPIMap

Individual provider Active NPI

Baleigh Ford, PA-C

  • Medical Physician Assistant
  • Vicksburg, MS
National Provider Identifier
1114387123
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00275 Issued in MS
Practice address
2080 S Frontage Rd
#100
Vicksburg, MS 39180-5328
Phone
(601) 262-1000
NPI assigned
Mar 3, 2016
Last updated
Mar 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00275 MS Primary

Addresses

Primary practice location

2080 S Frontage Rd
#100
Vicksburg, MS 39180-5328

Mailing address

499 Springridge Rd
Lot B1
Clinton, MS 39056-5600
Phone (601) 319-0685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160414000821 MS Practitioner - Physician Assistant 9032417688 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Vicksburg PLLCGroup PAC ID 3577782366, 8 clinicians

Practice addresses (Care Compare)

2080 S Frontage Rd
Suite 100
Vicksburg, MS 39180-5883
Phone (601) 262-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.2 of 100Reported as group
Quality
99.81
Improvement activities
40
Cost
72.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vicksburg Hma Physician Management LLC Current Accepting new patients
Vicksburg Hma Physician Management LLC Past Accepting new patients
Careplus Lakeview Family Medicine Past Accepting new patients

Locations

2080 S Frontage Rd
Ste 100
Vicksburg, MS 39180
Phone (601) 262-1000

Interoperability endpoints

  • Direct secure messaging: baleighford@fed2c3c7.micromddirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1114387123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 SPRINGRIDGE RD",
            "address_2": "LOT B1",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565600",
            "telephone_number": "601-319-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 S FRONTAGE RD",
            "address_2": "#100",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805328",
            "telephone_number": "601-262-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "BALEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.