Individual provider Active NPI

Richard Stephen McAdory, M.D.

  • Surgery Physician
  • Tupelo, MS
National Provider Identifier
1487858783
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
21892 Issued in MS
Practice address
440 Pegram Dr
Tupelo, MS 38801-6319
Phone
(662) 844-5344
Fax
(662) 844-5363
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 21892 MS Primary

Addresses

Primary practice location

440 Pegram Dr
Tupelo, MS 38801-6319

Mailing address

440 Pegram Drive
Tupelo, MS 38801-6319
Phone (662) 844-5344

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
I20120718000930 MS Practitioner - General SurgeryPractitioner - Vascular Surgery 4587820576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Mississippi School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgery Associates PAGroup PAC ID 5597747725, 3 clinicians

Practice addresses (Care Compare)

440 Pegram Dr
Tupelo, MS 38801-6319
Phone (662) 844-5344

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)17
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21892MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Associates PA Single Specialty CurrentSince Aug 1, 2012 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients

Locations

440 Pegram Dr
Tupelo, MS 38801
Phone (662) 844-5344

Interoperability endpoints

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

Organizations & group practices 3

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1487858783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 PEGRAM DRIVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016319",
            "telephone_number": "662-844-5344",
            "fax_number": "662-844-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PEGRAM DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016319",
            "telephone_number": "662-844-5344",
            "fax_number": "662-844-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCADORY",
        "first_name": "RICHARD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MS",
            "license": "21892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.