NPIMap

Individual provider Active NPI

Joseph L Pratt, MD

  • Family Medicine Physician
  • Corinth, MS
National Provider Identifier
1417953233
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11767 Issued in MS
Practice address
121 Pratt Dr
Suite 1a
Corinth, MS 38834-6026
Phone
(662) 286-0088
Fax
(662) 286-0067
NPI assigned
Jun 27, 2005
Last updated
Jan 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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 11767 MS Primary

Addresses

Primary practice location

121 Pratt Dr
Suite 1a
Corinth, MS 38834-6026

Mailing address

121 Pratt Dr
Suite 1a
Corinth, MS 38834-6026
Phone (662) 286-0088

Other identifiers 3

IdentifierTypeStateIssuer
P00139098OtherMSRAILROAD MEDICARE ID #
11767OtherMSSTATE MEDICAL LICENSE
05206512MedicaidMS

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
I20040615000734 MS Practitioner - Family Practice 2062495690 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Magnolia Family Medical PracticeGroup PAC ID 7618234402, 6 clinicians

Practice addresses (Care Compare)

121 Pratt Dr
Suite a
Corinth, MS 38834-6026
Phone (662) 286-0088

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions18
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11767MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center CurrentSince Dec 27, 2017 Accepting new patients
Crossroads Family Health Clinic LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
North Harper Minor Medical Clinic, LLC CurrentSince Aug 8, 2007 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center CurrentSince Dec 27, 2017 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Cornerstone Rehabilitation and Healthcare Center, LLC PastSince Aug 1, 2007 Accepting new patients
Alcorn County LTC, LLC Past Accepting new patients
Nexion Health at Corinth, Inc. Past Accepting new patients

Locations

121 Pratt Dr
Ste 3
Corinth, MS 38834
Phone (662) 286-0088

2427 Proper St
Corinth, MS 38834
Phone (662) 286-2300

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

Interoperability endpoints

  • Direct secure messaging: josephpratt@magnolia.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mississippi Care Center of Alcorn CountyCorinth, MS, CCN 255110 Skilled nursing facility Adp of the SNF Oct 1, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1417953233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PRATT DR",
            "address_2": "SUITE 1A",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346026",
            "telephone_number": "662-286-0088",
            "fax_number": "662-286-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PRATT DR",
            "address_2": "SUITE 1A",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346026",
            "telephone_number": "662-286-0088",
            "fax_number": "662-286-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "11767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID #",
            "identifier": "P00139098",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "11767",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05206512",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.