Active NPI
Fred Gilbert Emrick, M.D.
- Diagnostic Radiology Physician
- Natchez, MS
National Provider Identifier
1144213141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 07661
- Practice address
- 307 Highland Blvd
Natchez, MS 39120-4610 - Phone
- (601) 442-5042
- Fax
- (601) 442-5052
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 07661 | MS | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 05908R | LA |
Addresses
Primary practice location
307 Highland Blvd
Natchez, MS 39120-4610
Mailing address
307 Highland Blvd
Natchez, MS 39120-4610
Phone (601) 442-5042
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015185 | Medicaid | MS | |
| 1535206 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natchez Family Medicine | Past | Accepting new patients | |
| Natchez Oncology Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Natchez, MS
- NPI 1346765872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1144213141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 HIGHLAND BLVD",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391204610",
"telephone_number": "601-442-5042",
"fax_number": "601-442-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 HIGHLAND BLVD",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391204610",
"telephone_number": "601-442-5042",
"fax_number": "601-442-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMRICK",
"first_name": "FRED",
"middle_name": "GILBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "07661",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "05908R",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015185",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1535206",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.