Danny Ray Burgess, PHD
Individual provider Active NPI Clinical Psychologist · Jackson, MS
NPI 1346563137 · NPPES record last updated Aug 8, 2016
Key facts
- NPI
- 1346563137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 49854 (MS)
- Practice address
- 1350 E Woodrow Wilson Ave
Jackson, MS 39216-5112 - Phone
- (601) 981-2611
- NPI assigned
- Mar 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- State of Mississippi - University of Mississippi Medical Center
Practice addresses (Care Compare)
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100922000151 | MS | Practitioner - Clinical Psychologist | 1254457781 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current |
Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current |
Accepting new patients | |
| Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Past | Accepting new patients |
Locations
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
1350 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 364-5340
2500 N State St
Ste 4200
Jackson, MS 39216
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 49854 | MS | Yes |
Addresses
Primary practice location
1350 E Woodrow Wilson Ave
Jackson, MS 39216-5112
Mailing address
1910 Lakeland Dr
Suite C
Jackson, MS 39216-5029
Phone (601) 713-1550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06359856 | Medicaid | MS |
Other providers in Jackson, MS
- William Ethan Burch
- Mary E. Bures
- Robert Leon Burford III
- Gina Burkhead Burge
- Eric David Burger
- Erica Denise Burgess
- Lindsay Burke
- Lukas Burke
- Randy Scott Burke
- Wilson Matthew Burke
All providers in Jackson, MS · Clinical Psychologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.