Patrick Bynum, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16904 Issued in MS

Practice address

4890 Highway 18 W
Jackson, MS 39209-9666

Phone

(601) 301-5385

NPI assigned

Jul 20, 2006

Last updated

Apr 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Louisiana State University School of Medicine in Shreveport, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centerwell Senior Primary Care Ms PCGroup PAC ID 0143694190, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Flowood, MS, CCN 257126
• Merit Health River Region Hospital, Vicksburg, MS, CCN 250031
• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
• Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.bynum.1@29601.direct.athenahealth.com

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.

• Centerwell Senior Primary Care Ms PC

  dba CenterWell Senior Primary Care-Biloxi

  • Internal Medicine Physician
  • Biloxi, MS
  • NPI 1841902830

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Quad Intermed Company LLC

  • Clinic/Center
  • Laurel, MS
  • NPI 1952099913
  Medicare reassignment NPD
• Centerwell Senior Primary Care Ms PC

  dba CenterWell Senior Primary Care-Jackson West

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1821864174

  Family Medicine

  NPD
• Quad Intermed Company LLC

  • Clinic/Center
  • Vicksburg, MS
  • NPI 1205524261
  NPD
• Quad Intermed Company LLC

  dba MEA Medical Clinics

  • Clinic/Center
  • Pearl, MS
  • NPI 1205619483
  NPD
• Centerwell Senior Primary Care Ms PC

  dba CenterWell Senior Primary Care-Gulfport

  • Internal Medicine Physician
  • Gulfport, MS
  • NPI 1003528092

  Family Medicine

  NPD (past)
• First Intermed Corporation

  dba MEA Medical Clinics

  • Family Medicine Physician
  • Brandon, MS
  • NPI 1932133931
  NPD (past)

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

• Home Health Care Affiliates of Central Mississippi, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Flowood, MS
  • NPI 1417935578
  Care Compare affiliation
• Mississippi Baptist Medical Center, Inc.

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1710909585
  Care Compare affiliation
• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation
• Vicksburg Healthcare LLC

  dba Merit Health River Region

  • General Acute Care Hospital
  • Vicksburg, MS
  • NPI 1215981303
  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1437179967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564720",
            "telephone_number": "601-924-4000",
            "fax_number": "601-924-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 HIGHWAY 18 W",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392099666",
            "telephone_number": "601-301-5385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "498 Highway 80 E",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390564720",
            "country_code": "US",
            "telephone_number": "601-924-4000",
            "fax_number": "601-924-3360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122589",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patrick.bynum.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4890 Highway 18 W",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392099666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frotashia M Buxton, OT
• Heather Rebecca Byas, DPT
• Alysia M Byers, NP-C
• Michael R Byers, M.D.
• Paul E. Byers
• Douglas William Byrd, M.D.
• Joyce M Byrd, DDS
• William Byrd, MD
• C. David Finch, Jr., M.D.
• David Michael Caballero, MD

• Family Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.