Marcus Donald Finch
Individual provider Active NPI Physician Assistant · Petal, MS
NPI 1114969656 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1114969656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA00003 (MS)
- Practice address
- 50 Parkway LN Ste 10
Petal, MS 39465-3035 - Phone
- (601) 544-7404
- Fax
- (601) 544-1646
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hattiesburg Clinic PA
Practice addresses (Care Compare)
1238 Hwy 42
Sumrall, MS 39482-9519
Phone (601) 758-3100
1240 Hwy 42
Sumrall, MS 39482-9519
Phone (601) 264-6000
301 S 28TH Ave
Hattiesburg, MS 39401-7233
Phone (601) 264-6000
415 S 28TH Ave
Hattiesburg, MS 39401-7246
415 S 28TH Ave 3Rd Floor
Ambulatory Cardiovascular Center of Mississ
Hattiesburg, MS 39401-7246
Phone (601) 268-1734
415 S 28TH Ave FL
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
50 Pkwy LN
Petal, MS 39465-3035
Phone (601) 264-6000
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040917000608 | MS | Practitioner - Physician Assistant | 3577531557 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Clinic, PA | Current |
Accepting new patients | |
| Hattiesburg Clinic PA | Current |
Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Past |
Accepting new patients | |
| Hattiesburg Clinic, PA | Past | Accepting new patients | |
| Nancy E Weible | Past | Accepting new patients | |
| Heartsouth PLLC | Physician Assistant | Past | Accepting new patients |
| Hattiesburg Clinic PA | Past |
Accepting new patients | |
| Hattiesburg Clinic, PA | Past | Accepting new patients |
Locations
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
2313 Highway 15 N
Ste B
Laurel, MS 39440
50 Parkway Ln
Ste 10
Petal, MS 39465
Phone (601) 544-7404
50 Parkway Ln
Petal, MS 39465
Phone (601) 544-7404
50 Parkway Ln
Ste 100
Petal, MS 39465
Phone (601) 705-2897
805 Hall St
Wiggins, MS 39577
Phone (601) 928-4412
Interoperability endpoints
- https://api.platform.athenahealth.com/2667/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00003 | MS | Yes |
Addresses
Primary practice location
50 Parkway LN Ste 10
Petal, MS 39465-3035
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 928-4412
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5826661 | Other | MS | AETNA |
| 3666657 | Other | MS | CIGNA |
| 06475751 | Medicaid | MS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mfinch3562@directpatientrecord.com | Health Information Exchange (HIE) |
Other providers in Petal, MS
- April L Estill
- Anthony Lee Evans
- Heather Ezell
- Phillip Matthew Ezell
- Lorelei Lucas Farr
- Fit Jam LLC
- William Phillip Fortenberry Jr.
- Sara E Foster
- G G Morrison LLC
- Shawnta Senice Gandy
All providers in Petal, MS · Physician Assistant 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 24, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.