NPIMap

Individual provider Active NPI

Son G Lam, MD

  • Nephrology Physician
  • Oxford, MS
National Provider Identifier
1407866650
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
19369 Issued in MS
Practice address
1790 Barron St
Oxford, MS 38655-5705
Phone
(662) 236-2900
Fax
(662) 236-2922
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 19369 MS Primary

Addresses

Primary practice location

1790 Barron St
Oxford, MS 38655-5705

Mailing address

1790 Barron St
Oxford, MS 38655-5705
Phone (662) 236-2900

Other identifiers 1

IdentifierTypeStateIssuer
19369OtherMSSTATE BOARD OF MISSISSIPP

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
I20061228000122 MS Practitioner - NephrologyPractitioner - General PracticePractitioner - Internal MedicinePractitioner - Family Practice 1153321096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Mississippi School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Hypertension Associates LTDGroup PAC ID 1254327554, 19 clinicians

Practice addresses (Care Compare)

1790 Barron St
Oxford, MS 38655-5705
Phone (662) 236-2900

Hospital & facility affiliations

  • RCG Oxford (Yokna River) Dialysis facility, Oxford, MS, CCN 252511
  • RCG Oxford Home Therapy Dialysis facility, Oxford, MS, CCN 252591
  • RCG Grenada Dialysis facility, Grenada, MS, CCN 252527
  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034
  • Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
  • University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Hypertension Associates, LTD. Nephrology CurrentSince Jul 1, 2009 Accepting new patients
Newton Hospital, Inc Past Accepting new patients
Newton Hospital, Inc. Past Accepting new patients

Locations

1790 Barron St
Oxford, MS 38655
Phone (662) 236-2900

1542 Medical Park Cir
Tupelo, MS 38801
Phone (662) 680-9610

Interoperability endpoints

  • Direct secure messaging: slam30305@direct.acumenmd.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JADIBA

Organizations & group practices 3

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 9

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1407866650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 BARRON ST",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555705",
            "telephone_number": "662-236-2900",
            "fax_number": "662-236-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 BARRON ST",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555705",
            "telephone_number": "662-236-2900",
            "fax_number": "662-236-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "SON",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "19369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF MISSISSIPP",
            "identifier": "19369",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.