Michael Adam Adcock, M.D.
Individual provider Active NPI Pediatrics Physician · Flowood, MS
NPI 1407018302 · NPPES record last updated Apr 28, 2011
Key facts
- NPI
- 1407018302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 21410 (MS)
- Practice address
- 2946 Layfair Drive
Flowood, MS 39232 - Phone
- (601) 420-8233
- Fax
- (601) 936-5370
- NPI assigned
- Jul 1, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 3, 2025 through Feb 3, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21410 | MS | MD | Pediatrics Physician |
Interoperability endpoints
- madcock148899@direct.bmhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21410 | MS | Yes |
Addresses
Primary practice location
2946 Layfair Drive
Flowood, MS 39232
Mailing address
P.O. Box 321434
Flowood, MS 39232
Phone (601) 420-8233
Other providers in Flowood, MS
- Andrew P Achord
- Victoria Harris Acker
- Acorns Therapy LLC
- William Christopher Adams
- Benjamin Adcock
- Leslie Brannon Aden
- Adl Solutions
- Advance Medical Supplies, Inc.
- Advanced Foot Clinic PLLC
- Advanced Vascular and Vein Associates, LLC
All providers in Flowood, MS · Pediatrics Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2011. 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).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.