Individual provider Active NPI

Micah T. Monaghan, M.D

  • Radiation Oncology Physician
  • Corinth, MS
National Provider Identifier
1477763365
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
P3651 Issued in TX
Practice address
2001 State Drive
Corinth, MS 38834
Phone
(662) 286-3694
Fax
(901) 922-6767
NPI assigned
May 22, 2007
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 20482 MS
Radiation Oncology Physician 2085R0001X P3651 TX Primary

Addresses

Primary practice location

2001 State Drive
Corinth, MS 38834

Mailing address

2001 State Drive
Corinth, MS 38834
Phone (662) 286-3694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101111001157 MS Practitioner - Radiation Oncology 6709071061 Reassigns benefits to 1 organization
I20141001000427 TN Practitioner - Radiation Oncology 6709071061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Alabama School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Clinic P.C.Group PAC ID 2668360579, 115 clinicians

Practice addresses (Care Compare)

1751 Veterans Dr
Suite 190a
Florence, AL 35630-4930
Phone (256) 629-4801

2001 State Dr
Corinth, MS 38834-9324
Phone (662) 286-3694

7668 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 349-9556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as subgroup
Quality
83.22
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20482MSMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Clinic, PC CurrentSince Jul 5, 2014 Accepting new patients
The West Clinic P.C. CurrentSince Jul 1, 2014 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
The West Clinic P.C. PastSince Jul 16, 2023 Accepting new patients
Radiation Oncology of North Mississippi PLLC Radiation Oncology PastSince Jul 1, 2007 Accepting new patients
Altus Radiation Oncology (Baytown) LP Past Accepting new patients
Golden Triangle Radiation Oncology PLLC Radiation Oncology Past Accepting new patients
North Mississippi Hematology & Oncology Assoc. LTD Past Accepting new patients

Locations

1751 Veterans Dr
Ste 190A
Florence, AL 35630
Phone (256) 629-1920

2001 State Dr
Corinth, MS 38834
Phone (662) 286-3694

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

7668 Airways Blvd
Southaven, MS 38671
Phone (662) 349-9556

440 Wilkinson Dr
Dyersburg, TN 38024
Phone (731) 285-2211

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410

1290 Kelley Dr
Paris, TN 38242
Phone (270) 554-0011

Interoperability endpoints

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

Organizations & group practices 8

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1477763365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 STATE DRIVE",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-286-3694",
            "fax_number": "901-922-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 STATE DRIVE",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-286-3694",
            "fax_number": "901-922-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAGHAN",
        "first_name": "MICAH",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MS",
            "license": "20482",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "P3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.