Individual provider Active NPI

Patrick Ross Thurmond, D.O.

  • Cardiovascular Disease Physician
  • Jackson, MS
National Provider Identifier
1275897670
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
23836 Issued in MS
Practice address
501 Marshall St Ste 104
Jackson, MS 39202-1663
Phone
(601) 969-6404
Fax
(601) 973-4541
NPI assigned
Jun 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 23836 MS Primary

Addresses

Primary practice location

501 Marshall St Ste 104
Jackson, MS 39202-1663

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827000823 MS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880913193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 Hwy 16 E
Carthage, MS 39051-4222
Phone (601) 267-1151

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

151 E Metro Dr
Flowood, MS 39232-4405

151 E Metro Pkwy
Suite 201
Flowood, MS 39232-4405
Phone (601) 973-1680

220 Hwy 12 W
Kosciusko, MS 39090-3208
Phone (662) 289-4311

401 Baptist Dr
Madison, MS 39110-2009
Phone (601) 969-6404

401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504

501 Marshall St
Suite 104
Jackson, MS 39202-1663
Phone (601) 969-6404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23836MSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Baptist Medical Center, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Medical Foundation of Central Ms CurrentSince Jul 1, 2020 Accepting new patients
Mississippi Baptist Medical Center, Inc. Current Accepting new patients
Mississippi Baptist Medical Center, Inc CurrentSince Jul 1, 2020 Accepting new patients
Medical Foundation of Central Mississippi, Inc Past Accepting new patients

Locations

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

123 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-2225

501 Marshall St
Ste 104
Jackson, MS 39202
Phone (601) 973-4541

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

332 Highway 12 W
Kosciusko, MS 39090
Phone (601) 206-6100

401 Baptist Dr
Ste 406
Madison, MS 39110

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

823 Grand Ave
Fl 2
Yazoo City, MS 39194

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Interoperability endpoints

  • Direct secure messaging: pthurmond372860@direct.bmhcc.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1275897670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST STE 104",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021663",
            "telephone_number": "601-969-6404",
            "fax_number": "601-973-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMOND",
        "first_name": "PATRICK",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "23836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.