Individual provider Active NPI

Caleb Wilson Mason, DO

  • Family Medicine Physician
  • Meridian, MS
National Provider Identifier
1285204123
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T-4429 Issued in MS
Practice address
905C S Frontage Rd
Meridian, MS 39301-6113
Phone
(601) 484-2793
NPI assigned
Jul 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X T-4429 MS Primary

Addresses

Primary practice location

905C S Frontage Rd
Meridian, MS 39301-6113

Mailing address

905C S Frontage Rd
Meridian, MS 39301-6113
Phone (601) 484-2793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240717001834 MS Practitioner - Family Practice 3375088099
I20241014001526 AL Practitioner - Family Practice 3375088099 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Medical Center SouthGroup PAC ID 9234302290, 22 clinicians
Marshall Medical Center NorthGroup PAC ID 3577619873, 18 clinicians

Practice addresses (Care Compare)

2505 US Hwy 431
Boaz, AL 35957-5908
Phone (256) 593-8310

8000 Al Hwy 69
Guntersville, AL 35976-7140
Phone (256) 571-8000

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-4429MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Care Blountsville, LLC CurrentSince Sep 27, 2024 Accepting new patients
Premier Family Care Blountsville, LLC Single Specialty CurrentSince Sep 27, 2024 Accepting new patients
Marshall Medical Center North Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Premier Family Care Arab LLC Single Specialty CurrentSince Sep 27, 2024 Accepting new patients
Premier Family Care, LLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Marshall Medical Center South Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Wayne General Hospital Single Specialty Current Accepting new patients

Locations

20 S Main St
Arab, AL 35016
Phone (256) 586-2324

68278 Main St
Blountsville, AL 35031
Phone (205) 429-4151

2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061

1407 Blount Ave
Guntersville, AL 35976
Phone (256) 582-2324

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151

Interoperability endpoints

  • Direct secure messaging: caleb.mason.1@18357.direct.athenahealth.com

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.

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1285204123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905C S FRONTAGE RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393016113",
            "telephone_number": "601-484-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905C S FRONTAGE RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393016113",
            "telephone_number": "601-484-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "CALEB",
        "middle_name": "WILSON",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T-4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.