NPIMap

Individual provider Active NPI

Marc Hellrung, M.D.

  • Family Medicine Physician
  • Brandon, MS
National Provider Identifier
1366473464
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18818 Issued in MS
Practice address
1297 W Government St
Brandon, MS 39042-3048
Phone
(601) 200-4790
Fax
(601) 200-5929
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18818 MS Primary

Addresses

Primary practice location

1297 W Government St
Brandon, MS 39042-3048

Mailing address

PO Box 23666
Jackson, MS 39225-3666
Phone (601) 200-4749

Other practice location 1

286 Calhoun Station Pkwy
Madison, MS 39110-5537
Phone (601) 200-4321

Other identifiers 1

IdentifierTypeStateIssuer
06385771MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060814000549 MS Practitioner - Family Practice 9032112909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Dominic Medical Associates LLCGroup PAC ID 0446303168, 130 clinicians

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

1297 W Government St
St Dominic Family Practice Associaties
Brandon, MS 39042-3048
Phone (601) 200-4790

Hospital & facility affiliations

  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • Mississippi Methodist Rehab Ctr Hospital, Jackson, MS, CCN 250152

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as apm
Quality
73.43
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Dominic Medical Associates LLC Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
St Dominic Medical Associates LLC CurrentSince Oct 1, 2013 Accepting new patients
St Dominic Medical Associates LLC Past Accepting new patients
St. Dominic Medical Associates LLC Family Medicine Past Accepting new patients

Locations

1297 W Government St
Brandon, MS 39042
Phone (601) 200-4790

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

Interoperability endpoints

  • Direct secure messaging: mhellrung2546088@direct.casso.us.com

Organizations & group practices 4

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1366473464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23666",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253666",
            "telephone_number": "601-200-4749",
            "fax_number": "601-200-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 W GOVERNMENT ST",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423048",
            "telephone_number": "601-200-4790",
            "fax_number": "601-200-5929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "286 Calhoun Station Pkwy",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391105537",
            "country_code": "US",
            "telephone_number": "601-200-4321",
            "fax_number": "601-859-0159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLRUNG",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06385771",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.