Active NPI
Stephen Todd Threadgill, M.D.
- Gastroenterology Physician
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 11791
- Practice address
- 1208 Office Park Dr
Oxford, MS 38655-3597 - Phone
- (662) 234-9888
- Fax
- (662) 281-8927
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 11791 | MS | Primary |
Addresses
Primary practice location
1208 Office Park Dr
Oxford, MS 38655-3597
Mailing address
PO Box 381468
Germantown, TN 38183-1468
Other practice location 1
825 W Monroe St
Grenada, MS 38901-5042
Phone (662) 234-9888
Other practice location 2
1210 Office Park Dr
Oxford, MS 38655-3606
Phone (662) 234-9888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000112961 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Mississippi School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1208 Office Park Dr
Oxford, MS 38655-3597
Phone (662) 294-9888
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 270 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 250 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G I Diagnostic and Therapeutic Center LLC | Gastroenterology | Current | Accepting new patients |
| Gastroenterology Center of the Midsouth PLLC | Gastroenterology | Current | Accepting new patients |
| Hospital Authority of Jefferson County and the City of Louisville | Gastroenterology | Past | Accepting new patients |
| Hospital Authority of Jefferson County and the City of Louisville | Past | Accepting new patients |
Locations
825 W Monroe St
Ste 2
Grenada, MS 38901
Phone (662) 234-9888
1208 Office Park Dr
Oxford, MS 38655
Phone (662) 234-9888
1210 Office Park Dr
Oxford, MS 38655
Phone (662) 234-9888
7668 Airways Blvd
Bldg 2
Southaven, MS 38671
Phone (901) 766-9490
589 Garfield St
Ste 201
Tupelo, MS 38801
Phone (662) 680-5565
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Germantown, TN
- NPI 1417932492
MS
-
- Endoscopy Clinic/Center
- Germantown, TN
- NPI 1760467732
Gastroenterology
-
- Psychiatric Hospital Unit
- Louisville, GA
- NPI 1417554437
-
- General Acute Care Hospital
- Louisville, GA
- NPI 1710992433
Gastroenterology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1225046543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381468",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381831468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 OFFICE PARK DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553597",
"telephone_number": "662-234-9888",
"fax_number": "662-281-8927"
}
],
"practiceLocations": [
{
"address_1": "825 W Monroe St",
"address_purpose": "LOCATION",
"city": "Grenada",
"state": "MS",
"postal_code": "389015042",
"country_code": "US",
"telephone_number": "662-234-9888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1210 Office Park Dr",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "MS",
"postal_code": "386553606",
"country_code": "US",
"telephone_number": "662-234-9888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THREADGILL",
"first_name": "STEPHEN",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MS",
"license": "11791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000112961",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.