Individual provider Active NPI

Kelly S Segars Jr., M.D.

  • Family Medicine Physician
  • Iuka, MS
National Provider Identifier
1609871607
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10016 Issued in MS
Practice address
1507 W Quitman St
Iuka, MS 38852-1132
Phone
(662) 423-1000
Fax
(662) 423-1316
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10016 MS Primary

Addresses

Primary practice location

1507 W Quitman St
Iuka, MS 38852-1132

Mailing address

1507 W Quitman St
Iuka, MS 38852-1132
Phone (662) 423-1000

Other identifiers 1

IdentifierTypeStateIssuer
00013060MedicaidMS

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
I20100407000423 MS Practitioner - Family Practice 6406767391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelly S Segars MD PCGroup PAC ID 2961313853, 5 clinicians

Practice addresses (Care Compare)

1507 W Quitman St
Iuka, MS 38852-1132
Phone (662) 423-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.78 of 100Reported as group
Quality
90.53
Promoting interoperability
98
Improvement activities
40
Cost
76.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions18
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10016MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients

Interoperability endpoints

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

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.

Hospital & facility affiliations 5

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1609871607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521132",
            "telephone_number": "662-423-1000",
            "fax_number": "662-423-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521132",
            "telephone_number": "662-423-1000",
            "fax_number": "662-423-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGARS",
        "first_name": "KELLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "10016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00013060",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

Verify at the official NPI Registry.