Joseph R Terracina, M.D. P.A.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

12546 Issued in MS

Practice address

2525 Highway 1 S
Suite a
Greenville, MS 38701-8354

Phone

(662) 335-1103

Fax

(662) 335-8746

NPI assigned

Apr 3, 2006

Last updated

Dec 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Dermatology

Education

University of Mississippi School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.44 of 100Reported as individual

Quality

82.88

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

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.

• Dr Joseph R Terracina, MD, PA

  • Dermatology Physician
  • Greenville, MS
  • NPI 1134393952
  Medicare reassignment NPD
• Regional Surgical Centre, Inc.

  • Ambulatory Surgical Clinic/Center
  • Greenville, MS
  • NPI 1275595746
  NPD Authorized official
• Integrated Dermatology Group, LLC

  • Dermatology Physician
  • Greenville, MS
  • NPI 1164930517
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1316909724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HIGHWAY 1 S STE A",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387018354",
            "telephone_number": "662-335-1103",
            "fax_number": "662-335-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HIGHWAY 1 S",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387018354",
            "telephone_number": "662-335-1103",
            "fax_number": "662-335-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRACINA",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D. P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "12546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS PROVIDER NUMBER",
            "identifier": "96649",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA MEDICAID NUMBER",
            "identifier": "1981966",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111878",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "123945001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakendra Taylor, MSN, APRN, FNP-C
• TC Medical Equipment, Inc. (First Choice Charter Medical)
• TC Medical Equipment, Inc. (First Choice Charter Medical)
• TC Medical Equipment, LLC (First Choice Charter Medical)
• Telerad, PLLC
• Pradeep V Thakare, MD
• The Children's Medical Group of Greenville, PLLC
• The Clinic, LLC
• The Downtown Family Clinic, LLC
• The Greenville Clinic

• Dermatology Physician in Greenville, MS
• Providers in Greenville, MS by specialty
• Dermatology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.