Active NPI
Benjamin Perry Folk III, M.D.
- Specialist
- Greenville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10931
- Practice address
- 1502 S Colorado St
Greenville, MS 38703-7219 - Phone
- (662) 332-9872
- Fax
- (662) 378-0290
- NPI assigned
- Jun 12, 2006
- Last updated
- Jan 3, 2020
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 10931 | MS | Primary |
Addresses
Primary practice location
1502 S Colorado St
Greenville, MS 38703-7219
Mailing address
1502 S Colorado St
Greenville, MS 38703-7219
Phone (662) 332-9872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Vanderbilt University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1502 S Colorado St
Greenville, MS 38703-7219
Phone (662) 332-9872
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10931 | MS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Greenville Clinic | Current | Accepting new patients |
Locations
1502 S Colorado St
Greenville, MS 38703
Phone (601) 332-9872
Interoperability endpoints
- benjaminfolkiii@tgcpa.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Greenville, MS
- NPI 1003844978
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Greenville, MS
- NPI 1184232498
Hospital
-
dba Delta Health-The Medical Center
- Rural Acute Care Hospital
- Greenville, MS
- NPI 1306921887
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Clarksdale, MS
- NPI 1578171872
Hospital
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Cleveland, MS
- NPI 1972112183
Hospital
-
- General Acute Care Hospital
- Rolling Fork, MS
- NPI 1013004795
-
- Critical Access Hospital
- Lake Village, AR
- NPI 1235453192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1629010012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 S COLORADO ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387037219",
"telephone_number": "662-332-9872",
"fax_number": "662-378-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 S COLORADO ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387037219",
"telephone_number": "662-332-9872",
"fax_number": "662-378-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLK",
"first_name": "BENJAMIN",
"middle_name": "PERRY",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "10931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.