NPIMap

Individual provider Active NPI

Samuel Keith Box, D.O.

  • Family Medicine Physician
  • Oxford, MS
National Provider Identifier
1396973863
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20944 Issued in MS
Practice address
2173 S Lamar Blvd
Oxford, MS 38655-5223
Phone
(662) 234-6553
NPI assigned
Jun 23, 2009
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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 20944 MS Primary

Addresses

Primary practice location

2173 S Lamar Blvd
Oxford, MS 38655-5223

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

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
I20110823000260 MS Practitioner - Family PracticePractitioner - Emergency Medicine 9032389457 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boa Vida Hospital of Aberdeen Ms LLCGroup PAC ID 0244505840, shared by 26 NPIs, 70 clinicians

Practice addresses (Care Compare)

400 S Chestnut St
Aberdeen, MS 39730-3335
Phone (662) 369-2455

502 S Chestnut St
Aberdeen, MS 39730-3337
Phone (662) 319-8844

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Jul 1, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Dec 20, 2025 Accepting new patients
Redmed, LLC CurrentSince Jun 1, 2015 Accepting new patients
Redmed, LLC CurrentSince Jun 1, 2015 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Jul 1, 2024 Accepting new patients
Hattiesburg Clinic PA CurrentSince Nov 23, 2020 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Nov 23, 2020 Accepting new patients
Pioneer Health Services of Monroe County, Inc Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients

Locations

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

2200 5th St N
Columbus, MS 39705
Phone (662) 369-2455

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

5192 Old Highway 11
#2
Hattiesburg, MS 39402
Phone (601) 268-0929

12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044

Interoperability endpoints

  • Direct secure messaging: samuel.box.1@7547.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1396973863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555223",
            "telephone_number": "662-234-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOX",
        "first_name": "SAMUEL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "20944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.