Dallas W Butts, M.D.
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Starkville, MS
NPI 1609926161 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1609926161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- 16889 (MS)
- Practice address
- 400 Hospital Rd
Starkville, MS 39759-2163 - Phone
- (662) 615-2503
- Fax
- (662) 615-2554
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Mississippi School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Mississippi Medical Clinics Inc
Practice addresses (Care Compare)
1301 N 2ND St
Booneville, MS 38829-1028
Phone (662) 728-2071
Hospital & facility affiliations
- North Mississippi Medical Center
- Baptist Memorial Hospital Booneville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070315000491 | MS | Practitioner - Emergency Medicine | 2163525965 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Clinics Inc | Current |
Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Clinics Inc | Current |
Accepting new patients | |
| Greenwood Leflore Hospital | Past | Accepting new patients | |
| North Ms Emergency Physicians | Past | Accepting new patients | |
| St. Dominic Jackson Memorial | Past | Accepting new patients |
Locations
1301 N 2nd St
Booneville, MS 38829
Phone (662) 728-2071
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025
Interoperability endpoints
- dallasbutts@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 16889 | MS | Yes |
Addresses
Primary practice location
400 Hospital Rd
Starkville, MS 39759-2163
Mailing address
400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 615-2503
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122917 | Medicaid | MS |
Other providers in Starkville, MS
- Mary Locke Bryan
- Joanne Bryant
- Michael A Buehler
- Bulldog Phyisical Therapy and Sports Medicine
- Robert Allen Butler II
- Katie Buys
- Toni Bynum
- Jessica Byrd
- Kadie Carol Byrd
- Katherine Cagle-Holtcamp
All providers in Starkville, MS · Emergency Medical Services (Emergency Medicine) Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.