Organization Active NPI

Dr George L Cain Jr MD PLLC

  • Family Medicine Physician
  • Corinth, MS
National Provider Identifier
1275998684
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11344 Issued in MS
Legal business name
DR GEORGE L CAIN JR MD PLLC
Practice address
506 Alcorn Dr
Corinth, MS 38834-9392
Phone
(662) 286-0976
Fax
(662) 287-8074
NPI assigned
Dec 30, 2015
Last updated
Dec 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Dr. George Cain, MDNPI 1790709079
Title
Physician
Phone
(662) 286-0976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11344 MS Primary

Addresses

Primary practice location

506 Alcorn Dr
Corinth, MS 38834-9392

Mailing address

506 Alcorn Dr
Corinth, MS 38834-9392
Phone (662) 286-0976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160330002228 MS Part B Supplier - Clinic/Group Practice 9234436650 Receives reassigned benefits from 1 practitioner
Practice locations: Corinth, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0317068Dr George L Cain Jr MD PLLC506 Alcorn Drive, Corinth, MS 38834ComplianceApr 11, 2027

National Provider Directory

National Provider Directory

Locations

506 Alcorn Dr
Corinth, MS 38834
Phone (662) 286-0976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1275998684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349392",
            "telephone_number": "662-286-0976",
            "fax_number": "662-287-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349392",
            "telephone_number": "662-286-0976",
            "fax_number": "662-287-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GEORGE L CAIN JR MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "662-286-0976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "11344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.