Active NPI
Marilyn K McLeod, MD
- Emergency Medicine Physician
- Greenville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 14963
- Practice address
- 1400 E Union St
Greenville, MS 38703-3246 - Phone
- (662) 378-3783
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 14963 | MS | Primary |
Addresses
Primary practice location
1400 E Union St
Greenville, MS 38703-3246
Mailing address
PO Box 23998
Jackson, MS 39225-3998
Phone (662) 725-2749
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528013 | Medicaid | LA | |
| 00118461 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MO, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Mississippi School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 476-2621
Hospital & facility affiliations
- Baptist Memorial Hospital
- Baptist Memorial Hospital - Carroll County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14963 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| Delta Medical Group | Emergency Medicine | Past | Accepting new patients |
| Delta Physician Practices | Past | Accepting new patients | |
| Utica Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
| Centra Medical Group Southside, LLC | Past | Accepting new patients | |
| Delta Health System | Past | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
MO
-
- Community/Retail Pharmacy
- Greenville, MS
- NPI 1376930149
-
- Emergency Medicine Physician
- Greenville, MS
- NPI 1790701134
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1598086639
-
- Family Medicine Physician
- Farmville, VA
- NPI 1841479565
-
- Emergency Medicine Physician
- New Hartford, NY
- NPI 1447323019
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Huntingdon, TN
- NPI 1710941356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487761151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23998",
"city": "JACKSON",
"state": "MS",
"postal_code": "392253998",
"telephone_number": "662-725-2749",
"fax_number": "662-725-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E UNION ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387033246",
"telephone_number": "662-378-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "MARILYN",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "14963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528013",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00118461",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.