Robert A Dale Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

06999 Issued in MS

Practice address

1105 Earl Frye Boulevard
Gilmore Memorial Hospital
Amory, MS 38821

Phone

(662) 256-6090

NPI assigned

Aug 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIBHBA

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.

• Mantachie Rural Health Care, Inc

  dba Mantachie Clinic

  • Family Medicine Physician
  • Mantachie, MS
  • NPI 1033169545
  Medicare reassignment NPD
• Mantachie Rural Health Care, Inc

  dba Dorsey Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Fulton, MS
  • NPI 1508652330
  NPD
• North Ms Emergency Physicians

  • Emergency Medicine Physician
  • Tupelo, MS
  • NPI 1891724035
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215041652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 RAVENWOOD CV",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388047091",
            "telephone_number": "662-840-4648",
            "fax_number": "662-844-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 EARL FRYE BOULEVARD",
            "address_2": "GILMORE MEMORIAL HOSPITAL",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "38821",
            "telephone_number": "662-256-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "06999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Care in Home Care Services, LLC
• Comprehensive Hospitalists of Ms, LLC
• Currie's Family Care Pharmacy of Amory, LLC
• Curries Family Care Pharmacy of Amory, LLC
• Kelly Coker Dabbs
• Jamie Suzanne Davis, LPC
• Melinda Dickerson, PT, DPT
• Diversicare of Amory, LLC (Diversicare of Amory)
• Drayer Physical Therapy Institute LLC (Rehab At Work)
• Drayer Physical Therapy Mississippi LLC (Rehab At Work)

• Specialist in Amory, MS
• Providers in Amory, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.