G D Berryhill Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

06979 Issued in MS

Practice address

860 Desoto Avenue Ext
Clarksdale, MS 38614-2003

Phone

(662) 627-7438

Fax

(662) 624-4024

NPI assigned

Sep 24, 2006

Last updated

Jul 8, 2007By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: nwmgberry@yourcarecommunity.org

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.

• Clarksdale Hma LLC

  dba Clarksdale Phys Serv Anesthesia CRNA

  • Anesthesiology Physician
  • Clarksdale, MS
  • NPI 1386679744
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346340981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386140969",
            "telephone_number": "662-627-7438",
            "fax_number": "662-624-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 DESOTO AVENUE EXT",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386142003",
            "telephone_number": "662-627-7438",
            "fax_number": "662-624-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRYHILL",
        "first_name": "G",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "06979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017218",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jccee M Barney, M.S.
• William Michael Barr, MD
• Willie George Bays II
• Vikram Reddy Beemidi, MD
• Dana Bell
• Bethesda Resources Inc (Bethesda Cancer Center)
• Shakira Denise Birge
• Queen Blue
• Vetrice Bolden, CSS
• Dorothy L Booker, RD,LD

• Specialist in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.