Individual provider Active NPI

Thomas Sutherland Draper, M.D.

  • Family Medicine Physician
  • Iuka, MS
National Provider Identifier
1144363987
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16842 Issued in MS
Practice address
1413 W Quitman St
Iuka, MS 38852
Phone
(662) 424-9550
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 16842 MS
Family Medicine Physician 207Q00000X 16842 MS Primary

Addresses

Primary practice location

1413 W Quitman St
Iuka, MS 38852

Mailing address

1413 W Quitman St
Iuka, MS 38852-1130
Phone (662) 424-9550

Other identifiers 1

IdentifierTypeStateIssuer
0012270MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 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
I20060427000422 MS Practitioner - Emergency Medicine 0547270001 Reassigns benefits to 2 organizations
I20180827003058 AL Practitioner - Family PracticePractitioner - Emergency Medicine 0547270001 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Emergency Services Inc.Group PAC ID 5799697272, 35 clinicians
Sycamore Lakeland LLCGroup PAC ID 2668915471, 22 clinicians

Practice addresses (Care Compare)

100 Hospital St
Booneville, MS 38829-3354
Phone (662) 720-5000

42024 Hwy 195
Haleyville, AL 35565-7054
Phone (205) 486-5213

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16842MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Medical Alabama LLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
United Emergency Services, Inc. Emergency Medicine CurrentSince Jan 1, 2006 Accepting new patients
Relias Emergency Medicine Specialists of Northport, LLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Magnolia Physician Services, Inc CurrentSince Nov 1, 2016 Accepting new patients
Relias Emergency Medicine Specialists of Hamilton, LLC Emergency Medicine CurrentSince Feb 12, 2024 Accepting new patients
Magnolia Ear Nose & Throat Current Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Sycamore Lakeland LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Northwest Emergency Physician Group Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Wellness & Clinical Solutions LLC Family Medicine CurrentSince Jan 9, 2024 Accepting new patients
Avalon Medical LLC Family Medicine CurrentSince Jan 15, 2010 Accepting new patients
Relias Emergency Medicine Specialists of Regional, LLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Northwest Alabama Emergency Medicine LLC Emergency Medicine CurrentSince Mar 20, 2018 Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients

Locations

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

401 Alcorn Dr
Ste 2D
Corinth, MS 38834
Phone (662) 293-1565

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

1413 W Quitman St
Iuka, MS 38852
Phone (662) 423-6014

Interoperability endpoints

  • Direct secure messaging: tommydraper@magnolia.medalliesdirect.net
  • Direct secure messaging: tdraper670232@direct.bmhcc.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1144363987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521130",
            "telephone_number": "662-424-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "38852",
            "telephone_number": "662-424-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "THOMAS",
        "middle_name": "SUTHERLAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "16842",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012270",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

Verify at the official NPI Registry.