Active NPI
Kelly S Segars Jr., M.D.
- Family Medicine Physician
- Iuka, MS
National Provider Identifier
1609871607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10016
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00013060 | 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 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
Practice addresses (Care Compare)
1507 W Quitman St
Iuka, MS 38852-1132
Phone (662) 423-1000
Hospital & facility affiliations
- Centerwell Home Health
- North Mississippi Medical Ctr HHA
- Magnolia Regional Health Center HH & Hospice Agency
- Tishomingo Health Services Inc
- Magnolia Regional Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.78 of 100
- Quality
- 90.53
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 19 |
| Removal of skin lesions | 18 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10016 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients |
Interoperability endpoints
- 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.
-
- Specialist
- Iuka, MS
- NPI 1073566550
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tupelo, MS
- NPI 1972509099
-
- Home Health Agency
- Corinth, MS
- NPI 1063576247
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
-
- Home Health Agency
- Tupelo, MS
- NPI 1003871344
-
- General Acute Care Hospital
- Iuka, MS
- NPI 1548376700
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.