Individual provider Active NPI

Richard A Myers Jr., DPM

  • Podiatrist
  • Natchez, MS
National Provider Identifier
1265566491
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
80098 Issued in MS
Practice address
151 Jeff Davis Blvd Ste H
Natchez, MS 39120-5140
Phone
(601) 446-9850
Fax
(601) 446-9833
NPI assigned
Mar 16, 2007
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 80098 MS Primary

Addresses

Primary practice location

151 Jeff Davis Blvd Ste H
Natchez, MS 39120-5140

Mailing address

P.O. Box 18195
Natchez, MS 39122
Phone (601) 446-9850

Other practice location 1

122 5th Ave Ste A
McComb, MS 39648-4159
Phone (601) 249-0247

Other identifiers 2

IdentifierTypeStateIssuer
00115536MedicaidMS
1903906MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL myers.richard.dr@gmail.com Direct

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000783 MS Practitioner - Podiatry 5496736860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 Jeff Davis Blvd
Suite H
Natchez, MS 39120-5140
Phone (601) 446-9850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1074
Removal or shaving of skin growth567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80098MSMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Natchez Podiatry PLLC CurrentSince Dec 17, 2018 Accepting new patients
Podiatry Associates PLLC Podiatrist CurrentSince Jun 1, 2012 Accepting new patients
Panepinto Podiatry, LLC Podiatrist PastSince Mar 24, 2012 Accepting new patients

Locations

122 5th Ave
#A
McComb, MS 39648
Phone (601) 249-0247

116 Jefferson Davis Blvd
Natchez, MS 39120

56 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 442-9654

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1265566491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 18195",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "39122",
            "telephone_number": "601-446-9850",
            "fax_number": "601-446-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 JEFF DAVIS BLVD STE H",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205140",
            "telephone_number": "601-446-9850",
            "fax_number": "601-446-9833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 5th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396484159",
            "country_code": "US",
            "telephone_number": "601-249-0247",
            "fax_number": "601-249-2437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115536",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903906",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "myers.richard.dr@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "122 5th Ave Ste A",
            "city": "McComb",
            "state": "MS",
            "country_code": "US",
            "postal_code": "396484159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.