Active NPI
George Edward Copeland III, M.D.
- Surgery Physician
- Jackson, MS
National Provider Identifier
1326153149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 18532
- Practice address
- 501 Marshall St
Suite 500
Jackson, MS 39202-1651 - Phone
- (601) 948-1411
- Fax
- (601) 948-0090
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
Hospital
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
Hospital
-
- General Acute Care Hospital
- Canton, MS
- NPI 1194770404
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Mississippi School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Surgical Clinic Associates, P.a.
Practice addresses (Care Compare)
501 Marshall St
Suite 500
Jackson, MS 39202-1615
Phone 6019481411147
Hospital & facility affiliations
- Mississippi Baptist Medical Center
- Merit Health Madison
- St Dominic-Jackson Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.94 of 100
- Quality
- 41.08
- Improvement activities
- 40
- Cost
- 71.71
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 21 |
| Mastectomy | 23 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 16 |
| Removal of tissue | 1-10 |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040819000731 | MS | Practitioner - General Surgery | 9335112093 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18532 | MS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Surgical Clinic Associates, P.a. | Surgery | Current | Accepting new patients |
| Mississippi Baptist Medical Center, Inc. | Past | Accepting new patients |
Locations
501 Marshall St
Ste 500
Jackson, MS 39202
Phone (601) 948-1411
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 18532 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
501 Marshall St
Suite 500
Jackson, MS 39202-1651
Mailing address
501 Marshall St
Suite 500
Jackson, MS 39202-1651
Phone (601) 948-1411
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001639756 | Medicaid | MS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2009.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1326153149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MARSHALL ST",
"address_2": "SUITE 500",
"city": "JACKSON",
"state": "MS",
"postal_code": "392021651",
"telephone_number": "601-948-1411",
"fax_number": "601-948-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MARSHALL ST",
"address_2": "SUITE 500",
"city": "JACKSON",
"state": "MS",
"postal_code": "392021651",
"telephone_number": "601-948-1411",
"fax_number": "601-948-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "GEORGE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "18532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001639756",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.