Individual provider Active NPI

Richard Charles Calderone, D.O.

  • Internal Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1215340286
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24158 Issued in MS
Practice address
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Phone
(601) 288-7000
NPI assigned
Jun 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24158 MS
Internal Medicine Physician 207R00000X 24158 MS Primary
Public Health & General Preventive Medicine Physician 2083P0901X 24158 MS

Addresses

Primary practice location

6051 U S Highway 49
Hattiesburg, MS 39401-7200

Mailing address

116 Carrie Rd
Hattiesburg, MS 39402-3089
Phone (601) 441-6731

Other identifiers 1

IdentifierTypeStateIssuer
24158OtherMSLICENSE

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
I20170818001931 MS Practitioner - Obstetrics/GynecologyPractitioner - Internal Medicine 3870818537 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Internal Medicine
Education
William Carey University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forrest County General HospitalGroup PAC ID 1052397767, 107 clinicians

Practice addresses (Care Compare)

415 S 28TH Ave
FL 1
Hattiesburg, MS 39401-7246
Phone (601) 579-3300

Hospital & facility affiliations

  • Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24158MSMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hattiesburg Clinic, PA CurrentSince Jul 1, 2018 Accepting new patients
Pioneer Health Care , LLC CurrentSince Mar 15, 2019 Accepting new patients
Forrest County General Hospital CurrentSince Sep 1, 2018 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 20, 2018 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Feb 20, 2018 Accepting new patients
Forrest County General Hospital CurrentSince Sep 1, 2018 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Hattiesburg Clinic PA CurrentSince Jul 1, 2018 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Forrest County General Hospital Past Accepting new patients
Conx Care Corporation Past Accepting new patients

Locations

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

415 S 28th Ave
Ste 1B
Hattiesburg, MS 39401
Phone (601) 579-3300

415 S 28th Ave
Fl 1
Hattiesburg, MS 39401
Phone (601) 288-5200

2117 Broadway Dr
Hattiesburg, MS 39402
Phone (601) 288-8050

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157

15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4

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 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": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1215340286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CARRIE RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023089",
            "telephone_number": "601-441-6731",
            "fax_number": "601-401-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 U S HIGHWAY 49",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017200",
            "telephone_number": "601-288-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERONE",
        "first_name": "RICHARD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-08",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "24158",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "24158",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MS",
            "license": "24158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "24158",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.