Erica R Balthrop, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

16812 Issued in MS

Practice address

401 Southcrest Cir Ste 104
Southaven, MS 38671-6712

Phone

(662) 349-1112

NPI assigned

Sep 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Obstetrics/Gynecology

Education

Chicago College of Medicine and Surgery, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Progressive Medical Management of Batesville LLCGroup PAC ID 0345583225, 23 clinicians

Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians

Obhg Mississippi PCGroup PAC ID 7416120407, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
• Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167
• Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erica.balthrop.1@19675.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/13706/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.yourcareuniverse.net/tenant/0c0c63aa-c0e5-4256-b638-969087e4db15
• Direct secure messaging: nwmebalth@yourcarecommunity.org
• Direct secure messaging: ebalthrop10900@direct.bmhcc.org
• Direct secure messaging: ericabalthrop@nmhs.medalliesdirect.net

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.

• Obhg Mississippi, P.C.

  • Obstetrics & Gynecology Physician
  • Jackson, MS
  • NPI 1083995674
  Medicare reassignment Care Compare group NPD
• Strategic Solutions-Panola Medical Center LLC

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1700349222
  Medicare reassignment Care Compare group NPD
• Baptist Memorial Medical Group Inc

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1306089206

  MS, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Northwest Miss Regional Medical Center

  • Internal Medicine Physician
  • Clarksdale, MS
  • NPI 1598458515

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Sanders Clinic for Women PA

  • Obstetrics & Gynecology Physician
  • Tupelo, MS
  • NPI 1962423046
  Medicare reassignment NPD
• Memphis Obstetrics and Gynecological Association PC

  • Obstetrics & Gynecology Physician
  • Bartlett, TN
  • NPI 1306884911

  MS

  Medicare reassignment
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• Northwest Miss Regional Medical Center

  • Emergency Medicine Physician
  • Clarksdale, MS
  • NPI 1699468686
  NPD
• Strategic Solutions-Panola Medical Center LLC

  • Rural Acute Care Hospital
  • Batesville, MS
  • NPI 1053873307
  NPD
• Woman'S Clinic, a Professional Association

  • Rural Health Clinic/Center
  • Clarksdale, MS
  • NPI 1477898112

  Specialist

  NPD
• Baptist Memorial Medical Group Inc

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1841006129
  NPD
• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  NPD (past)

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

• Baptist Memorial Hospital North Mississippi, Inc

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1053375576
  Care Compare affiliation
• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  Care Compare affiliation
• Methodist Healthcare - Olive Branch Hospital

  • General Acute Care Hospital
  • Olive Branch, MS
  • NPI 1912341439
  Care Compare affiliation

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1366438772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827",
            "telephone_number": "901-226-3186",
            "fax_number": "901-226-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTHCREST CIR STE 104",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716712",
            "telephone_number": "662-349-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 N State St",
            "address_purpose": "LOCATION",
            "city": "Clarksdale",
            "state": "MS",
            "postal_code": "386146100",
            "country_code": "US",
            "telephone_number": "662-627-7361",
            "fax_number": "662-627-1158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTHROP",
        "first_name": "ERICA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "16812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK MEDICAID",
            "identifier": "149982001",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BC BS",
            "identifier": "82606",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122260",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Bakeris, DC
• Balanced Minds and Wellness, PLLC
• Renita Marie Baldon
• Patrick Andrew Ball, DO
• Thomas Kelly Ballard IV
• Mallareddy Banala, MD
• Baptist Desoto Surgery Center, LP
• Baptist Memorial Hospital Desoto
• Baptist Memorial Hospital- Desoto
• Baptist Memorial Hospital-Desoto, Inc,

• Obstetrics & Gynecology Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.