Renia R Dotson, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

16993 Issued in MS

Practice address

1727 E Union St
Greenville, MS 38703-3253

Phone

(662) 332-0040

Fax

(662) 332-5008

NPI assigned

Sep 22, 2006

Last updated

Jan 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ms State Department of Health

  • Community/Behavioral Health Agency
  • Jackson, MS
  • NPI 1053489260
  Medicare reassignment NPD
• Mississippi State Department of Health

  • Clinical Medical Laboratory
  • Jackson, MS
  • NPI 1255479630
  NPD
• Ms State Dept of Health

  • Long Term Care Pharmacy
  • Jackson, MS
  • NPI 1376606582
  NPD
• Delta Physician Practices

  • Family Medicine Physician
  • Greenville, MS
  • NPI 1518086537
  NPD (past)
• Delta Physician Practices

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1598086639
  NPD (past)
• Uppal Medical Center LLC

  • Rural Health Clinic/Center
  • Greenville, MS
  • NPI 1558927905
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1205935269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 ANNE STOKES RD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387016907",
            "telephone_number": "662-334-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033253",
            "telephone_number": "662-332-0040",
            "fax_number": "662-332-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "RENIA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MS",
            "license": "16993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015528",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Cashion Doolittle, CFNP
• Jeffery Samuel Doolittle, M.D.
• Philip D Doolittle, MD
• Sandra Dorman, R.N.
• Harry L Dorsey, DC
• Douglas E Fleming LLC (Douglas Fleming LLC)
• David Grant Dowdy, DDS
• Dr Hamdan Psychiatric Clinic PLLC
• Dr Joseph R Terracina, MD, PA
• DRMC Robert Neal Suares Jr MD

• Colon & Rectal Surgery Physician in Greenville, MS
• Providers in Greenville, MS by specialty
• Colon & Rectal Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.