Active NPI
Norman L Connell Jr., MD
- Obstetrics & Gynecology Physician
- Vicksburg, MS
National Provider Identifier
1659307296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 16732
- Practice address
- 2100 Highway 61 N
Vicksburg, MS 39183-8211 - Phone
- (601) 883-5000
- NPI assigned
- Jun 24, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 16732 | MS | Primary |
Addresses
Primary practice location
2100 Highway 61 N
Vicksburg, MS 39183-8211
Mailing address
2100 Highway 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7023123 | Other | MS | AETNA |
| 0122875 | Medicaid | MS | |
| 1483621 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Mississippi School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 N State St
Jackson, MS 39202-2064
Phone (800) 967-2289
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023337 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Center-Leake Inc | Current | Accepting new patients | |
| Obstetrics Gynecology Associates PA | Obstetrics & Gynecology | Current | Accepting new patients |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Vicksburg Clinic LLC | Past | Accepting new patients | |
| Baptist Medical Center-Leake, Inc | Past | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Past | Accepting new patients | |
| Vicksburg Clinic LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Vicksburg Clinic LLC | Past | Accepting new patients |
Locations
1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100
1793 Cliff Gookin Blvd
Tupelo, MS 38801
Phone (662) 842-1161
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Interoperability endpoints
- nconnell145866@direct.bmhcc.org
- normanconnell@nmhs.medalliesdirect.net
Organizations & group practices 11
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.
-
- Obstetrics & Gynecology Physician
- Jackson, MS
- NPI 1083995674
-
- Obstetrics & Gynecology Physician
- Tupelo, MS
- NPI 1750352894
-
- Family Medicine Physician
- Jackson, MS
- NPI 1356626618
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1023481595
-
- Critical Access Hospital
- Carthage, MS
- NPI 1205112539
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Rural Health Clinic/Center
- Walnut Grove, MS
- NPI 1548310782
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- Infectious Disease Physician
- Vicksburg, MS
- NPI 1659307791
-
- Family Medicine Physician
- Vicksburg, MS
- NPI 1790711158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1659307296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 HIGHWAY 61 N",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391838211",
"telephone_number": "601-883-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 HIGHWAY 61 N",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391838211",
"telephone_number": "601-883-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "NORMAN",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "16732",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7023123",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0122875",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1483621",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.