Galen V Poole, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

12067 Issued in MS

Practice address

346 Crossgates Blvd
Suite 101
Brandon, MS 39042-2608

Phone

(601) 825-6505

Fax

(601) 825-6569

NPI assigned

Aug 8, 2006

Last updated

Apr 21, 2014By 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

Enrolled in MS

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4

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.

• River Oaks Management Company LLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1922029040
  Medicare reassignment NPD
• Careplus Lakeview Family Medicine

  • Family Medicine Physician
  • Clinton, MS
  • NPI 1942621024
  NPD
• Crossgates Hma Medical Group LLC

  • Internal Medicine Physician
  • Brandon, MS
  • NPI 1639401524

  Surgery

  NPD
• Crossgates Hma Medical Group, LLC

  dba Rankin Hospitalists

  • Hospitalist Physician
  • Jackson, MS
  • NPI 1366726408
  NPD
• Crossgates Hma Medical Group, LLC

  dba Care Plus Family Medical Clinic

  • Family Medicine Physician
  • Puckett, MS
  • NPI 1770682882
  NPD
• Reservoir Family Medical Clinic, PA

  • Family Medicine Physician
  • Flowood, MS
  • NPI 1770929713
  NPD
• River Oaks Management Company, LLC

  dba Clinton Medical Center

  • Family Medicine Physician
  • Clinton, MS
  • NPI 1235319831
  NPD
• University Surgery Associates, PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jackson, MS
  • NPI 1356451652
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1679583157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 CROSSGATES BLVD",
            "address_2": "SUITE 101",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422608",
            "telephone_number": "601-825-6505",
            "fax_number": "601-825-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 CROSSGATES BLVD",
            "address_2": "SUITE 101",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422608",
            "telephone_number": "601-825-6505",
            "fax_number": "601-825-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "GALEN",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "12067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Polks Crossgates Discount Drugs Inc (Polk's Discount Drugs # 4)
• Polks Crossgates Discount Drugs, Inc.
• Lara Katelin Pope, SLP
• Stacey Porter
• Paula C Potratz
• Courtney A Poullard - Wright
• Thomas Logan Powell, MD

• Surgery Physician in Brandon, MS
• Providers in Brandon, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.