Active NPI
Rebecca Diane Cody, MD
- Hematology & Oncology Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 22443
- Practice address
- 8121 Rourk St
Myrtle Beach, SC 29572-4128 - Phone
- (843) 692-5000
- Fax
- (843) 692-5015
- NPI assigned
- Aug 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 22443 | SC | Primary |
| Hematology & Oncology Physician | 207RH0003X | 200100855 | NC |
Addresses
Primary practice location
8121 Rourk St
Myrtle Beach, SC 29572-4128
Mailing address
8121 Rourk St
Myrtle Beach, SC 29572-4128
Phone (843) 692-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89064HW | Medicaid | NC | |
| T67291 | Medicaid | SC |
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
- Medical Oncology
- Education
- University of Mississippi School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
961 S Gloster St
North Mississippi Medical Center Hematology
Tupelo, MS 38801-6343
Phone (662) 377-4550
Hospital & facility affiliations
- North Mississippi Medical Center
- North Mississippi Medical Center-Gilmore Amory
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200100855 | NC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Thompson Oncology Group | Hematology & Oncology | Current | Accepting new patients |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| North Mississippi Medical Center, Inc | Hematology & Oncology | Current | Accepting new patients |
| Coastal Cancer Center LLC | Hematology & Oncology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Amory Surgery Clinic, PLLC | Past | Accepting new patients |
Locations
808 Varsity Dr
Tupelo, MS 38801
Phone (662) 377-2386
961 S Gloster St
Tupelo, MS 38801
Phone (601) 844-9166
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
7 Medical Center Dr
Supply, NC 28462
Phone (910) 755-7509
8121 Rourk St
Myrtle Beach, SC 29572
Phone (843) 692-5000
1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065
Dept 888078
Knoxville, TN 37995
908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000
Organizations & group practices 7
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.
-
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
- Hematology & Oncology Physician
- Supply, NC
- NPI 1013937226
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- Hematology & Oncology Physician
- Tupelo, MS
- NPI 1942686324
-
- Hematology & Oncology Physician
- Knoxville, TN
- NPI 1619975737
-
- Surgery Physician
- Amory, MS
- NPI 1821441080
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Amory, MS
- NPI 1164993457
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1265425763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8121 ROURK ST",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724128",
"telephone_number": "843-692-5000",
"fax_number": "843-692-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8121 ROURK ST",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724128",
"telephone_number": "843-692-5000",
"fax_number": "843-692-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODY",
"first_name": "REBECCA",
"middle_name": "DIANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "SC",
"license": "22443",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "200100855",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89064HW",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T67291",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.