NPIMap

Individual provider Active NPI

Patrick Eakes, MD

  • Internal Medicine Physician
  • Philadelphia, MS
National Provider Identifier
1194739656
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16521 Issued in MS
Practice address
921 West Beacon Street
Philadelphia, MS 39350
Phone
(604) 656-6116
Fax
(601) 656-5445
NPI assigned
Jul 28, 2006
Last updated
Oct 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16521 MS Primary

Addresses

Primary practice location

921 West Beacon Street
Philadelphia, MS 39350

Mailing address

921 West Beacon Street
Philadelphia, MS 39350
Phone (604) 656-6116

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
I20060201000525 MS Practitioner - Internal Medicine 4082628722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laird Hospital, Inc.Group PAC ID 7214991769, 30 clinicians

Practice addresses (Care Compare)

1106 Central Dr
Philadelphia, MS 39350-8972
Phone (601) 656-6921

24345 Hwy 15
Union, MS 39365-8575
Phone (601) 774-8211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
86.99
Improvement activities
40
Cost
66.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laird Hospital, Inc. CurrentSince Dec 15, 2016 Accepting new patients
Laird Hospital, Inc. Current Accepting new patients
Laird Hospital, Inc. CurrentSince Dec 15, 2016 Accepting new patients
Neshoba County General Hospital-Nursing Home Past Accepting new patients
Neshoba County General Hospital Past Accepting new patients
Neshoba County General Hospital Past Accepting new patients
Neshoba County General Hospital Past Accepting new patients
Neshoba County General Hospital Past Accepting new patients
Neshoba County General Hospital Past Accepting new patients
Neshoba County General Hospital Past Accepting new patients
Neshoba County General Hospital-Nursing Home Past Accepting new patients
Neshoba County General Hospital-Nursing Home Past Accepting new patients
Neshoba County General Hospital Past Accepting new patients
Neshoba County General Hospital Past Accepting new patients
Neshoba County General Hospital Past Accepting new patients
Neshoba County General Hospital Past Accepting new patients
Neshoba County General Hospital Past Accepting new patients
Neshoba Physician Billing Service Past Accepting new patients
Neshoba County General Hospital Past Accepting new patients

Locations

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 8

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1194739656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 WEST BEACON STREET",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "39350",
            "telephone_number": "604-656-6116",
            "fax_number": "601-656-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 WEST BEACON STREET",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "39350",
            "telephone_number": "604-656-6116",
            "fax_number": "601-656-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKES",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "16521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.