NPIMap

Individual provider Active NPI

Frank C Wade Jr., M.D.

  • Family Medicine Physician
  • Magee, MS
National Provider Identifier
1619934940
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10798 Issued in MS
Practice address
360 Simpson Highway 149
Suite 370
Magee, MS 39111-3841
Phone
(601) 849-1530
Fax
(601) 849-1535
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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 10798 MS Primary

Addresses

Primary practice location

360 Simpson Highway 149
Suite 370
Magee, MS 39111-3841

Mailing address

PO Box 23666
Jackson, MS 39225-3666
Phone (601) 200-4749

Other identifiers 2

IdentifierTypeStateIssuer
09883351MedicaidMS
00123452MedicaidMS

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
I20050608000357 MS Practitioner - Family Practice 8325081706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

376 Simpson Hwy 149
Suite 600
Magee, MS 39111-3572
Phone (601) 849-6440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10798MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Healthcare Management, Inc. CurrentSince May 27, 2022 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Independent Healthcare Management Inc Family Medicine CurrentSince May 27, 2022 Accepting new patients
Careplus Lakeview Family Medicine Family Medicine Past Accepting new patients
Premier Medical Group of Mississippi LLC Past Accepting new patients
Independent Healthcare Management, Inc. PastSince Jun 21, 2022 Accepting new patients
University Family Medicine Associates, PLLC Past Accepting new patients

Locations

330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151

376 Simpson Highway 149
Ste 600
Magee, MS 39111
Phone (601) 721-8985

110 Pioneer Way
Magee, MS 39111

360 Simpson Highway 149
Ste 140
Magee, MS 39111

342 Magnolia Dr
Raleigh, MS 39153
Phone (601) 782-5665

Interoperability endpoints

  • Direct secure messaging: frank.wade@phspch.eclinicaldirectplus.com
  • Direct secure messaging: frankwade@mscm.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1619934940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23666",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253666",
            "telephone_number": "601-200-4749",
            "fax_number": "601-200-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SIMPSON HIGHWAY 149",
            "address_2": "SUITE 370",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113841",
            "telephone_number": "601-849-1530",
            "fax_number": "601-849-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "FRANK",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "10798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09883351",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123452",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

Verify at the official NPI Registry.