Individual provider Active NPI

Michael Stacy Thaggard, M.D.

  • Diagnostic Radiology Physician
  • Meridian, MS
National Provider Identifier
1659352011
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12892 Issued in MS
Practice address
1203 24TH Ave
Meridian, MS 39301-3926
Phone
(601) 693-5862
Fax
(601) 693-9314
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12892 MS Primary

Addresses

Primary practice location

1203 24TH Ave
Meridian, MS 39301-3926

Mailing address

PO Box 5653
Meridian, MS 39302-5653
Phone (601) 693-5862

Other identifiers 1

IdentifierTypeStateIssuer
00113689MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080326000508 MS Practitioner - Diagnostic Radiology 6103902507 Reassigns benefits to 3 organizations
I20160825000867 TX Practitioner - Diagnostic Radiology 6103902507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Mississippi School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Imaging, PAGroup PAC ID 9234215625, 4 clinicians
Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians
Mississippi State Hospital at WhitfieldGroup PAC ID 5294727533, 34 clinicians

Practice addresses (Care Compare)

1102 Constitution Ave
FL 1
Meridian, MS 39301-4001
Phone (601) 693-5843

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 484-6700

2401 16TH St
Meridian, MS 39301-3950
Phone (601) 482-4181

3550 Hwy 468 W
B60
Whitfield, MS 39193-0157
Phone (601) 351-8000

Hospital & facility affiliations

  • Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104
  • Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069
  • Anderson Regional Medical Center South Campus Hospital, Meridian, MS, CCN 250081
  • Ochsner Laird Hospital Hospital, Union, MS, CCN 251322
  • Ochsner Watkins Hospital Hospital, Quitman, MS, CCN 251316

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
53.79
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi State Hospital at Whitfield CurrentSince Aug 2, 2024 Accepting new patients
Mississippi State Hospital at Whitfield Current Accepting new patients
Mississippi State Hospital CurrentSince Aug 2, 2024 Accepting new patients
Medical Foundation, Inc. Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Meridian Imaging, PA Diagnostic Radiology CurrentSince Jan 1, 2008 Accepting new patients
Mobile Imaging, LLC CurrentSince Jan 1, 2025 Accepting new patients
Medical Foundation, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Jul 4, 2017 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 4, 2017 Accepting new patients
Meridian Radiology Associates PA Diagnostic Radiology Past Accepting new patients

Locations

1800 12th St
Meridian, MS 39301
Phone (601) 483-0011

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

1102 Constitution Ave
Fl 1
Meridian, MS 39301
Phone (601) 693-5843

1400 20th Ave
Ste C
Meridian, MS 39301
Phone (601) 693-0216

1203 24th Ave
Meridian, MS 39301
Phone (601) 693-5843

3550 Highway 468 W
Whitfield, MS 39193

3550 Highway 468 W
#B60
Whitfield, MS 39193

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

Organizations & group practices 10

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 5

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659352011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5653",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025653",
            "telephone_number": "601-693-5862",
            "fax_number": "601-693-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 24TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013926",
            "telephone_number": "601-693-5862",
            "fax_number": "601-693-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAGGARD",
        "first_name": "MICHAEL",
        "middle_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "12892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00113689",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.