NPIMap

Individual provider Active NPI

Stefanie Monique Thomas, DPM

  • Podiatrist
  • Clinton, MS
National Provider Identifier
1497864698
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
80151 Issued in MS
Practice address
705 Hwy 80 West
Clinton, MS 39056
Phone
(601) 926-1500
Fax
(601) 926-1502
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 80151 MS Primary

Addresses

Primary practice location

705 Hwy 80 West
Clinton, MS 39056

Mailing address

705 Hwy 80 West
Clinton, MS 39056
Phone (601) 926-1500

Other identifiers 1

IdentifierTypeStateIssuer
06981282MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405000417 MS Practitioner - Podiatry 9335131739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

705 Hwy 80 W
Clinton, MS 39056-4103
Phone (601) 926-1500

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Vicksburg, MS, CCN 257103
  • Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • Crossgates River Oaks Hospital Hospital, Brandon, MS, CCN 250096
  • Merit Health Central Hospital, Jackson, MS, CCN 250072
  • Mississippi Methodist Rehab Ctr Hospital, Jackson, MS, CCN 250152
  • Merit Health River Oaks Hospital, Flowood, MS, CCN 250138

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of nail tissue14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80151MSMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Foot Clinic PC Podiatrist CurrentSince May 26, 2003 Accepting new patients
Davis Podiatry, LLC Past Accepting new patients
Mississippi Foot Clinic, Inc Past Accepting new patients

Locations

705 Highway 80 W
Clinton, MS 39056
Phone (601) 926-1500

543 Highway 80 W
Ste B
Clinton, MS 39056
Phone (601) 488-4580

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9847/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHJHBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHJHBD/Endpoint/GHJHBD

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 8

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497864698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 HWY 80 WEST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "39056",
            "telephone_number": "601-926-1500",
            "fax_number": "601-926-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 HWY 80 WEST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "39056",
            "telephone_number": "601-926-1500",
            "fax_number": "601-926-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STEFANIE",
        "middle_name": "MONIQUE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06981282",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

Verify at the official NPI Registry.