NPIMap

Individual provider Active NPI

Gregory J Hale, MD

  • Nephrology Physician
  • Oxford, MS
National Provider Identifier
1275503104
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
12842 Issued in MS
Practice address
1306 Belk Blvd Ste a
Oxford, MS 38655-5302
Phone
(662) 236-6636
Fax
(662) 236-6602
NPI assigned
Jan 24, 2006
Last updated
Jul 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 12842 MS Primary

Addresses

Primary practice location

1306 Belk Blvd Ste a
Oxford, MS 38655-5302

Mailing address

1306 Belk Blvd Ste a
Oxford, MS 38655-5302
Phone (662) 236-6636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000839 MS Practitioner - Internal MedicinePractitioner - Nephrology 5294775193 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of Mississippi School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Hospitalist GroupGroup PAC ID 4688752371, 22 clinicians

Practice addresses (Care Compare)

3704 Hwy 72 W
Corinth, MS 38834-8556
Phone (662) 665-8041

611 Alcorn Dr
Corinth, MS 38834-9321
Phone (662) 293-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12842MSMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center CurrentSince Jan 26, 2018 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Hospitalist Group CurrentSince Apr 17, 2018 Accepting new patients
Magnolia Regional Health Center CurrentSince Jan 26, 2018 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Specialty Clinic CurrentSince Jan 1, 2022 Accepting new patients
Nephrology & Hypertension Associates, LTD. Nephrology Current Accepting new patients
Magnolia Regional Health Center Current Accepting new patients

Locations

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

638 Tahoe Rd
Winfield, AL 35594
Phone (205) 487-2800

3207 Mullins Dr
Corinth, MS 38834
Phone (662) 286-3700

3704 Highway 72 W
Corinth, MS 38834
Phone (662) 286-1499

401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

1306 Belk Blvd
#A
Oxford, MS 38655
Phone (662) 236-6636

1542 Medical Park Cir
Tupelo, MS 38801
Phone (662) 680-9610

Interoperability endpoints

  • Direct secure messaging: gregoryhale@magnolia.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/JADIBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1275503104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 BELK BLVD STE A",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555302",
            "telephone_number": "662-236-6636",
            "fax_number": "662-236-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 BELK BLVD STE A",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555302",
            "telephone_number": "662-236-6636",
            "fax_number": "662-236-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "12842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.