NPIMap

Individual provider Active NPI

Robert L Giffin, MD

  • Family Medicine Physician
  • Vicksburg, MS
National Provider Identifier
1376584052
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
09966 Issued in MS
Practice address
1901 Mission 66
Vicksburg, MS 39180-3711
Phone
(601) 636-8244
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 13

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 13

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1901 Mission
Suite 66
Vicksburg, MS 39180-3711
Phone (601) 636-0097

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Vicksburg, MS, CCN 257103
  • Centerwell Home Health Home health agency, Flowood, MS, CCN 257126
  • Arden Home Health of West Ms, LLC Home health agency, Ridgeland, MS, CCN 257115
  • Enhabit Home Health Home health agency, Vicksburg, MS, CCN 257097
  • Gentiva Hospice, Vicksburg, MS, CCN 251559
  • Merit Health River Region Hospital, Vicksburg, MS, CCN 250031
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
  • Vicksburg Convalescent Center Nursing home, Vicksburg, MS, CCN 255253
  • Heritage House Nursing Center Nursing home, Vicksburg, MS, CCN 255284
  • Shady Lawn Health and Rehabilitation Nursing home, Vicksburg, MS, CCN 255234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20
Removal or shaving of skin growth1-10
Skin biopsy1-10

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20110215000188 MS Practitioner - Family Practice 3870560626 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09966MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susan a Chiarito MD PA Inc Family Medicine Current Accepting new patients
Joseph L Wilson MD Inc Current Accepting new patients
Robert C Masterson DO PA Inc Family Medicine Current Accepting new patients
Rlgmdpa Inc Family Medicine CurrentSince Nov 4, 1994 Accepting new patients
J Russell Barnes MD PC Family Medicine Current Accepting new patients
BC Medical LLC Family Medicine Current Accepting new patients
Robert M Cannon MD LLC Current Accepting new patients
Denesia Y Giffin PLLC Current Accepting new patients
K McDaniel Inc Current Accepting new patients
Cal-Med LLC Family Medicine Current Accepting new patients
Flowers Medical Group LLC Family Medicine Current Accepting new patients
Mission Primary Care Clinic PLLC Family Medicine CurrentSince Oct 31, 2016 Accepting new patients
Christina Hossley Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robert.giffin@mpcc.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 09966 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

1901 Mission 66
Vicksburg, MS 39180-3711

Mailing address

1901 Mission 66
Vicksburg, MS 39180-3711
Phone (601) 636-8244

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00114253MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2007.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1376584052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFIN",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "09966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114253",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.