NPIMap

Individual provider Active NPI

Charles Gregory Pigott, MD

  • Surgery Physician
  • Tupelo, MS
National Provider Identifier
1487625703
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
11070 Issued in MS
Practice address
4381 S Eason Blvd
Suite 202
Tupelo, MS 38801-6583
Phone
(662) 377-6470
Fax
(662) 377-6475
NPI assigned
Jan 27, 2006
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 11070 MS Primary

Addresses

Primary practice location

4381 S Eason Blvd
Suite 202
Tupelo, MS 38801-6583

Mailing address

454 E President Ave
Tupelo, MS 38801-5501
Phone (662) 377-4685

Other identifiers 1

IdentifierTypeStateIssuer
00115396MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100216000881 MS Practitioner - General SurgeryPractitioner - Vascular Surgery 0941343123 Reassigns benefits to 1 organization
I20190427000102 AL Practitioner - General Surgery 0941343123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1256 Military St S
Hamilton, AL 35570-5003
Phone (205) 921-6202

499 Gloster Creek VLG
Suite 4
Tupelo, MS 38801-4600
Phone (662) 377-6470

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11070MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center, Inc. CurrentSince Nov 16, 2020 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Marion Regional Medical Center, Inc Surgery CurrentSince Dec 1, 2020 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Nov 16, 2020 Accepting new patients
Marion Regional Medical Center, Inc. Current Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Marion Regional Medical Center, Inc CurrentSince Dec 1, 2020 Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients

Locations

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

1336 Military St S
Hamilton, AL 35570
Phone (205) 921-0521

4381 S Eason Blvd
Ste 202
Tupelo, MS 38801
Phone (662) 377-6470

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

499 Gloster Creek Vlg
Ste 4
Tupelo, MS 38801
Phone (662) 377-6470

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: charlespigott@nmhs.medalliesdirect.net

Organizations & group practices 9

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 3

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1487625703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015501",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 S EASON BLVD",
            "address_2": "SUITE 202",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016583",
            "telephone_number": "662-377-6470",
            "fax_number": "662-377-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGOTT",
        "first_name": "CHARLES",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "11070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115396",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.