Individual provider Active NPI

George Edward Copeland III, M.D.

  • Surgery Physician
  • Jackson, MS
National Provider Identifier
1326153149
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
18532 Issued in MS
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.

Hospital & facility affiliations 3

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

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. 8 clinicians

Practice addresses (Care Compare)

501 Marshall St
Suite 500
Jackson, MS 39202-1615
Phone 6019481411147

Hospital & facility affiliations

  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • Merit Health Madison Hospital, Canton, MS, CCN 250038
  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

Merit-based Incentive Payment System (MIPS)

Final score
67.94 of 100Reported as group
Quality
41.08
Improvement activities
40
Cost
71.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)21
Mastectomy23
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision16
Removal of tissue1-10

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
18532MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Surgical Clinic Associates, P.a. Surgery CurrentSince Jul 15, 2004 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)CodeLicenseStatePrimary
Surgery Physician 208600000X 18532 MS Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
001639756MedicaidMS

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

Verify at the official NPI Registry.