NPIMap

Individual provider Active NPI

Marc Damon Lingle, DO

  • Emergency Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1629564745
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
29557 Issued in MS
Practice address
21 Oxford Dr
Hattiesburg, MS 39402-7849
Phone
(509) 406-2510
NPI assigned
Jul 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X MS
Emergency Medicine Physician 207P00000X 29557 MS Primary

Addresses

Primary practice location

21 Oxford Dr
Hattiesburg, MS 39402-7849

Mailing address

21 Oxford Dr
Hattiesburg, MS 39402-7849
Phone (509) 406-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220310000039 MS Practitioner - Emergency Medicine 5799119087 Reassigns benefits to 4 organizations
I20251111003826 NC Practitioner - Emergency Medicine 5799119087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

124 One Ctr CT
Franklin, NC 28734-0192
Phone (828) 524-8411

Hospital & facility affiliations

  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
  • The McDowell Hospital Hospital, Marion, NC, CCN 340087
  • Angel Medical Center Hospital, Franklin, NC, CCN 341326
  • Blue Ridge Regional Hospital Hospital, Spruce Pine, NC, CCN 341329

Merit-based Incentive Payment System (MIPS)

Final score
96.53 of 100Reported as group
Quality
88.1
Improvement activities
40
Cost
85.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29557MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. Multi-Specialty CurrentSince Feb 1, 2024 Accepting new patients
Medical Services of Meridian, Inc. Multi-Specialty CurrentSince Mar 1, 2022 Accepting new patients
Emergency Coverage, LLC Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients
Leake Emergency Group, LLC Multi-Specialty CurrentSince Jun 6, 2022 Accepting new patients
Yazoo Emergency Group, LLC Multi-Specialty CurrentSince Jan 9, 2023 Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

Organizations & group practices 5

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1629564745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 OXFORD DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027849",
            "telephone_number": "509-406-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 OXFORD DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027849",
            "telephone_number": "509-406-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGLE",
        "first_name": "MARC",
        "middle_name": "DAMON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "29557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.