Edward Riley, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

10465 Issued in MS

Practice address

2520 5TH St N
Columbus, MS 39705-2008

Phone

(904) 805-1300

Fax

(904) 805-1302

NPI assigned

Jun 2, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS, AR2 enrollments

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 2

Specialty

Emergency Medicine

Education

University of South Carolina School of Medicine, 1982

Medicare assignment

May accept Medicare assignment

Group practices

South Sunflower County HospitalGroup PAC ID 6709771637, 18 clinicians

Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Sevier County Medical CenterGroup PAC ID 5890166722, shared by 3 NPIs, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Little River Memorial Hospital Hospital, Ashdown, AR, CCN 041320
• South Sunflower County Hospital Hospital, Indianola, MS, CCN 250095
• Sevier County Medical Center Hospital, De Queen, AR, CCN 041333

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.riley.1@14285.direct.athenahealth.com

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.

• South Sunflower County Hospital

  • General Acute Care Hospital
  • Indianola, MS
  • NPI 1184679292
  Medicare reassignment Care Compare group NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AR, MS

  Medicare reassignment Care Compare group NPD
• Copiah County Medical Center

  • Critical Access Hospital
  • Hazlehurst, MS
  • NPI 1588667281
  Medicare reassignment NPD
• Keystone Medical Services of Ms, Inc

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1174691059
  Medicare reassignment NPD
• Sevier County Medical Center

  • Body Imaging Physician
  • De Queen, AR
  • NPI 1265114797
  Medicare reassignment
• Sevier County Medical Center

  • Critical Access Hospital
  • De Queen, AR
  • NPI 1386367506
  Medicare reassignment
• Sevier County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • De Queen, AR
  • NPI 1750099800
  Medicare reassignment
• Clay County Medical Corporation

  • Anesthesiology Physician
  • West Point, MS
  • NPI 1396852695
  NPD
• Copiah County Medical Center

  • Critical Access Hospital
  • Hazlehurst, MS
  • NPI 1083039663
  NPD
• Copiah County Medical Center

  • Rural Health Clinic/Center
  • Crystal Springs, MS
  • NPI 1972603819
  NPD
• South Sunflower County Hospital

  • Anesthesiology Physician
  • Indianola, MS
  • NPI 1407064454
  NPD
• South Sunflower County Hospital

  • Clinic/Center
  • Indianola, MS
  • NPI 1487685897
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Sunflower County Hospital

  • General Acute Care Hospital
  • Indianola, MS
  • NPI 1184679292
  Care Compare affiliation
• Little River Medical Center, Inc.

  • Critical Access Hospital
  • Ashdown, AR
  • NPI 1326040007
  Care Compare affiliation
• Sevier County Medical Center

  • Critical Access Hospital
  • De Queen, AR
  • NPI 1386367506
  Care Compare affiliation

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1255379350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75473",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755473",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052008",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "10465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA MEDICAID",
            "identifier": "009972530",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "562251777",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118034",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lee Douglass Roberson, M.D.
• Robert H Jones MD PC
• Emily Roberts
• Robertson Medical Clinic LLC

• Emergency Medicine Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.

Verify at the official NPI Registry.