Individual provider Active NPI

Robert C McEachern, MD

  • Pulmonary Disease Physician
  • Oxford, MS
National Provider Identifier
1164413407
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
13539 Issued in MS
Practice address
2301 S Lamar Blvd
Suite #100
Oxford, MS 38655-5373
Phone
(662) 234-0119
Fax
(662) 513-9673
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 13539 MS Primary

Addresses

Primary practice location

2301 S Lamar Blvd
Suite #100
Oxford, MS 38655-5373

Mailing address

PO Box 405827
Atlanta, GA 30384-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110913000051 MS Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0840370268 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Mississippi School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Health Services IncGroup PAC ID 8224376561, 33 clinicians

Practice addresses (Care Compare)

1107 Earl Frye Blvd
3 Amory Cardiology Clinic
Amory, MS 38821-5519
Phone (662) 257-6765

860 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-7150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13539MSMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Inc. CurrentSince Jun 23, 2017 Accepting new patients
Jackson Pulmonary Associates, PA Pulmonary Disease Current Accepting new patients
Monroe Health Services, Inc. CurrentSince Jul 23, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Monroe Health Services, Inc. CurrentSince Jul 23, 2024 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Oct 10, 2023 Accepting new patients
Monroe Health Services, Inc. Current Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Clinics Inc Pulmonary Disease CurrentSince Oct 10, 2023 Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients
Marion Regional Medical Center, Inc. Past Accepting new patients

Locations

1107 Earl Frye Blvd
Ste 3
Amory, MS 38821
Phone (662) 256-9590

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

971 Lakeland Dr
Ste 1052
Jackson, MS 39216
Phone (601) 981-9503

1207 Highway 182 W
Ste E
Starkville, MS 39759
Phone (662) 465-2126

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

860 S Madison St
Tupelo, MS 38801
Phone (662) 377-7150

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

Interoperability endpoints

  • Direct secure messaging: robertmceachern@nmhs.medalliesdirect.net
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.323
  • Direct secure messaging: robert.mceachern.p1@direct.mspulmonary.nextgenshare.com

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1164413407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S LAMAR BLVD",
            "address_2": "SUITE #100",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555373",
            "telephone_number": "662-234-0119",
            "fax_number": "662-513-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEACHERN",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "13539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.