John Houston Bearry, MD
Individual provider Active NPI Emergency Medicine Physician · Greenville, MS
NPI 1285741983 · NPPES record last updated Jun 25, 2008
Key facts
- NPI
- 1285741983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 08305 (MS)
- Practice address
- 1400 E Union St
Greenville, MS 38703-3246 - Phone
- (662) 378-3783
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Mississippi School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Delta Medical Group
Practice addresses (Care Compare)
1693 Fairgrounds Rd
Greenville, MS 38703-7810
Phone (662) 378-3783
Hospital & facility affiliations
- Delta Health System - the Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040726001090 | MS | Practitioner - Emergency Medicine |
5991775298 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Medical Group | Emergency Medicine | Current |
Accepting new patients |
| Delta Physician Practices | Past | Accepting new patients |
Locations
1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783
1400 E Union St
Greenville, MS 38703
Phone (601) 427-0422
300 S Washington Ave
Greenville, MS 38701
Phone (662) 378-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 08305 | MS | Yes |
Addresses
Primary practice location
1400 E Union St
Greenville, MS 38703-3246
Mailing address
PO Box 23998
Jackson, MS 39225-3998
Phone (662) 725-2749
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1551082 | Medicaid | LA | |
| 155967001 | Medicaid | AR | |
| 06033800 | Medicaid | MS |
Other providers in Greenville, MS
- Renate Esther Baker
- Denetrius Banks
- Patricia Ann Barber
- Thea A Barnes
- Kelli Bearden
- James R Beckham
- Ryginna D Bennett
- Djuana Matthews Beruk
- Bethesda Resources Inc
- Nadia Nicole Bethley
All providers in Greenville, MS · Emergency Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.