Cody Caston Choate, D.O.
Individual provider Active NPI Family Medicine Physician · Columbia, MS
NPI 1487064697 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1487064697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 24243 (MS)
- Practice address
- 502 Broad St
Columbia, MS 39429-3037 - Phone
- (601) 736-8282
- NPI assigned
- Apr 28, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hattiesburg Clinic PA
Practice addresses (Care Compare)
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
Hospital & facility affiliations
- St Luke Home Health Services
- Forrest General Home Care of Marion General
- Enhabit Home Health & Hospice
- St Luke Home Health and Hospice
- Marion General Hospital
- Forrest General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170731000601 | MS | Practitioner - Family Practice | 4688961428 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24243 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrest County General Hospital | Current | Accepting new patients | |
| Hattiesburg Clinic PA | Current |
Accepting new patients | |
| Forrest County General Hospital | Current |
Accepting new patients | |
| Hattiesburg Clinic, PA | Current |
Accepting new patients | |
| Forrest General Hospital | Current |
Accepting new patients | |
| Hattiesburg Clinic, PA | Past | Accepting new patients |
Locations
502 Broad St
Columbia, MS 39429
Phone (601) 736-8282
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
2117 Broadway Dr
Hattiesburg, MS 39402
Phone (601) 288-8050
415 S 28th Ave
Fl 1
Hattiesburg, MS 39401
Phone (601) 288-5200
Interoperability endpoints
- cchoate62202@directpatientrecord.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24243 | MS | Yes |
Addresses
Primary practice location
502 Broad St
Columbia, MS 39429-3037
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 736-8282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01926042 | Medicaid | MS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cchoate62202@directpatientrecord.com | Health Information Exchange (HIE) |
Other providers in Columbia, MS
- Alania Cedillo
- Joanna Chandler
- Jane Ann Chatelain
- Chemist LLC
- Children'S International, LLC
- Steven Alan Clement
- Columbia Community Care Center LLC
- Columbia Discount Drugs, Inc
- Columbia Family Dental LLC
- Columbia Pediatris, P.C.
All providers in Columbia, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.