Samuel Mansour, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

9152 Issued in MS

Practice address

176 South Main St
Pontotoc, MS 38863

Phone

(662) 488-7640

Fax

(662) 488-7675

NPI assigned

May 4, 2006

Last updated

Dec 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Emergency Medicine

Education

University of Mississippi School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tishomingo Health Services, Inc.Group PAC ID 2466354303, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monroe Regional Hospital Hospital, Aberdeen, MS, CCN 251302
• Tishomingo Health Services Inc Hospital, Iuka, MS, CCN 250002

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

86.46 of 100Reported as group

Quality

71.9

Improvement activities

40

Cost

87.09

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tishomingo Health Services, Inc.

  dba Tishomingo Co Hospital

  • General Acute Care Hospital
  • Iuka, MS
  • NPI 1548376700
  Medicare reassignment Care Compare group
• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Critical Access Hospital
  • Aberdeen, MS
  • NPI 1285164046
  Medicare reassignment NPD
• Boa Vida Hospital of Aberdeen, Ms, LLC

  dba Monroe Regional Hospital

  • Multi-Specialty Clinic/Center
  • Aberdeen, MS
  • NPI 1710405741
  Medicare reassignment NPD
• Dobbs Emergency Group, LLC

  • Emergency Medicine Physician
  • Calhoun City, MS
  • NPI 1205499639
  Medicare reassignment NPD
• Northeast Ms Internal Medicine PC

  • Internal Medicine Physician
  • Booneville, MS
  • NPI 1407831928
  Medicare reassignment NPD
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  MS

  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  MS

  Medicare reassignment NPD
• Boa Vida Hospital of Aberdeen, Ms LLC

  dba MRH Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Aberdeen, MS
  • NPI 1134858269
  NPD
• Pontotoc Health Services, Inc.

  dba Pontotoc Health Services CAH - Swing Bed

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1962512871
  NPD
• Baptist Medical Center-Leake, Inc

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1356626618
  NPD (past)
• Boa Vida Hospital of Aberdeen, Ms, LLC

  dba MRH Medical Group

  • Rural Health Clinic/Center
  • Aberdeen, MS
  • NPI 1245757301
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Critical Access Hospital
  • Aberdeen, MS
  • NPI 1285164046
  Care Compare affiliation
• Tishomingo Health Services, Inc.

  dba Tishomingo Co Hospital

  • General Acute Care Hospital
  • Iuka, MS
  • NPI 1548376700
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1306894555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 SOUTH MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "38863",
            "telephone_number": "662-488-7640",
            "fax_number": "662-488-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 SOUTH MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "38863",
            "telephone_number": "662-488-7640",
            "fax_number": "662-488-7675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Highway 16 E",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MS",
            "postal_code": "390514222",
            "country_code": "US",
            "telephone_number": "601-267-1195",
            "fax_number": "601-267-1191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Burke Calhoun City Rd",
            "address_purpose": "LOCATION",
            "city": "Calhoun City",
            "state": "MS",
            "postal_code": "389169690",
            "country_code": "US",
            "telephone_number": "662-628-6611",
            "fax_number": "662-628-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "9152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Guntharp Lindsey, R.PH.
• Hart Robbins Loftis, M.S., CCC-SLP
• Jennifer Dawn Lowery, M.D.
• Jessica Maffett, NP
• Magnolia Medical, LLC
• Tammy Martin, LMSW
• Eric Mayfield
• Miranda Wood Maynard, O.D
• Tyler Mickey McCay, PHARMD
• Emily L McCormac

• Emergency Medicine Physician in Pontotoc, MS
• Providers in Pontotoc, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.