Individual provider Active NPI

James C Gilmore, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Corinth, MS
National Provider Identifier
1477560050
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
25354 Issued in AL
Practice address
611 Alcorn Dr Ste 200
Corinth, MS 38834-9323
Phone
(662) 665-4660
Fax
(662) 665-4645
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25354 AL Primary

Addresses

Primary practice location

611 Alcorn Dr Ste 200
Corinth, MS 38834-9323

Mailing address

611 Alcorn Dr Ste 200
Corinth, MS 38834-9323
Phone (662) 665-4660

Other identifiers 2

IdentifierTypeStateIssuer
009934175MedicaidAL
51517796OtherALBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cvt@magnolia.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090305000473 MS Practitioner - Cardiac SurgeryPractitioner - Vascular Surgery 8820902604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Vascular Surgery
Education
University of Mississippi School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Cardiovascular and Thoracic ClinicGroup PAC ID 1153494547, 3 clinicians

Practice addresses (Care Compare)

611 Alcorn Dr
Suite 200
Corinth, MS 38834-9323
Phone (662) 665-4660

Hospital & facility affiliations

  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
  • Hardin Medical Center Hospital, Savannah, TN, CCN 440109

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25354ALMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center CurrentSince Sep 25, 2023 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center CurrentSince Sep 25, 2023 Accepting new patients
Magnolia Cardiovascular and Thoracic Clinic Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 9, 2009 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
North Point Cardiovascular and Thoracic Surgery Clinic Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jan 9, 2009 Accepting new patients

Locations

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

401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255

611 Alcorn Dr
Ste 200
Corinth, MS 38834
Phone (662) 287-6913

Interoperability endpoints

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

Organizations & group practices 7

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 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1477560050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR STE 200",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349323",
            "telephone_number": "662-665-4660",
            "fax_number": "662-665-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR STE 200",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349323",
            "telephone_number": "662-665-4660",
            "fax_number": "662-665-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AL",
            "license": "25354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934175",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51517796",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cvt@magnolia.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "611 Alcorn Dr Ste 200",
            "city": "Corinth",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388349323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.