Michael Reid Fracchia, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

1649007055 Issued in MS

Practice address

2500 N State St
Jackson, MS 39216-4500

Phone

(601) 209-5809

NPI assigned

Sep 18, 2024

Last updated

Jul 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1649007055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 ROBERT DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116338",
            "telephone_number": "601-209-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-209-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRACCHIA",
        "first_name": "MICHAEL",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "1649007055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia D Fowler, OT
• Gayla Fowler
• Ervin Ray Fox, MD
• Melanie Fox, MD
• Nathan Dear Foxworth
• Meg Francis, MD
• Franciscan Missionaries of Our Lady Health System Inc (RxONE St Dominic)
• Anfernee Frank
• Nicole Franklin-Branch
• Ashley Neale Bullard Franklin, LPC

• Urology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Urology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.