Jason E Pryor, M.D.
Individual provider Active NPI Emergency Medicine Physician · Starkville, MS
NPI 1306158183 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1306158183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 21943 (MS)
- Practice address
- 400 Hospital Rd
Starkville, MS 39759-2163 - Phone
- (662) 323-4320
- Fax
- (662) 615-2554
- NPI assigned
- Jul 8, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Mississippi School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- RH Emergency Medicine of Och Regional LLC
Practice addresses (Care Compare)
400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 432-4106
Hospital & facility affiliations
- Baptist Memorial Hospital-Oktibbeha County
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 |
|---|---|---|---|---|
| I20120725000470 | MS | Practitioner - Emergency Medicine | 1951567684 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RH Emergency Medicine of Och Regional LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21943 | MS | Yes |
Addresses
Primary practice location
400 Hospital Rd
Starkville, MS 39759-2163
Mailing address
PO Box 1506
Starkville, MS 39760-1506
Phone (662) 323-4320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04284891 | Medicaid | MS |
Other providers in Starkville, MS
- Franchescia Monshea Prater
- Preferred Care Developmental Centers of Ms I Inc
- Tiffine Lynn Prisock
- Karlee Stewart Prosser
- Jessica Pruitt
- R. Allen Butler, M.D., PA
- Radiation Oncology of North Ms PLLC
- Haylie Radtke
- Erin Nicole Raftery
- Kenneth Lawrence Ramsey
All providers in Starkville, 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 Oct 1, 2019. 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.