Active NPI
Barbara Proctor, MD
- Anatomic Pathology & Clinical Pathology Physician
- Oxford, MS
National Provider Identifier
1598744773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 09651
- Practice address
- 1100 Belk Blvd
Oxford, MS 38655-5242 - Phone
- (901) 227-2455
- NPI assigned
- Jan 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 09651 | MS | Primary |
| Cytopathology Physician | 207ZC0500X | 09651 | MS |
Addresses
Primary practice location
1100 Belk Blvd
Oxford, MS 38655-5242
Mailing address
5301 Virginia Way Ste 300
Brentwood, TN 37027-7542
Phone (615) 221-4400
Other practice location 1
1033 N Flowood Dr
Jackson, MS 39232-9533
Phone (601) 932-8370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00015652 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 76.55 of 100
- Quality
- 72.42
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09651 | MS | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hub Care Pathology, P.a. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Associated Pathologists LLC | Past | Accepting new patients |
Locations
5052 W 4th St
Hattiesburg, MS 39402
Phone (601) 261-2587
1026 N Flowood Dr
Jackson, MS 39232
Phone (601) 932-1000
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Hattiesburg, MS
- NPI 1043324767
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1598744773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 VIRGINIA WAY STE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277542",
"telephone_number": "615-221-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BELK BLVD",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555242",
"telephone_number": "901-227-2455"
}
],
"practiceLocations": [
{
"address_1": "1033 N Flowood Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392329533",
"country_code": "US",
"telephone_number": "601-932-8370",
"fax_number": "601-939-2915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROCTOR",
"first_name": "BARBARA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-16",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MS",
"license": "09651",
"primary": true
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "MS",
"license": "09651",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00015652",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.