NPIMap

Individual provider Active NPI

Donald Carlisle Livingston, M.D.

  • Internal Medicine Physician
  • Amory, MS
National Provider Identifier
1467864207
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24136 Issued in MS
Practice address
900 Earl Frye Blvd Ste a
Amory, MS 38821-5507
Phone
(662) 256-9331
Fax
(662) 597-6011
NPI assigned
May 28, 2014
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 24136 MS Primary
Pediatrics Physician 208000000X 24136 MS

Addresses

Primary practice location

900 Earl Frye Blvd Ste a
Amory, MS 38821-5507

Mailing address

900 Earl Frye Blvd
Ste a
Amory, MS 38821-5507
Phone (662) 256-9331

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5200

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
I20180705000928 MS Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2668797507 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Mississippi School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pands Clinic OB-GYN, PLLCGroup PAC ID 5890896252, 15 clinicians

Practice addresses (Care Compare)

900 Earl Frye Blvd
Suite a
Amory, MS 38821-5507
Phone (662) 256-9331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Feb 1, 2019 Accepting new patients
Relias Hospitalist Medicine Specialists of Amory LLC CurrentSince Feb 1, 2020 Accepting new patients
P&S Primary Care, PLLC Internal Medicine CurrentSince Mar 24, 2025 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Feb 1, 2019 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Sep 7, 2019 Accepting new patients
P & S Clinic OB-GYN PLLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Sep 7, 2019 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Current Accepting new patients
Oktibbeha County Hospital Past Accepting new patients
Baptist Memorial Hosp Oktibbeha County Inc. Past Accepting new patients

Locations

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

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

900 Earl Frye Blvd
Ste A
Amory, MS 38821
Phone (662) 256-9331

Interoperability endpoints

  • Direct secure messaging: donald.livingston.1@20688.direct.athenahealth.com

Organizations & group practices 10

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 4

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1467864207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD",
            "address_2": "STE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-256-9331",
            "fax_number": "662-597-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD STE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-256-9331",
            "fax_number": "662-597-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "DONALD",
        "middle_name": "CARLISLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "24136",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "24136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

Verify at the official NPI Registry.