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

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 and National Provider Directory roles.

• River Oaks Management Company LLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1922029040

  MS

  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

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

  • 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

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

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

  Surgery

  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": []
}

• Ashley Elizabeth Pierce, OTR
• Chandler Pleasant, D.M.D.
• Polk'S Crossgate Discount Drugs Inc.
• Polks Crossgates Discount Drugs Inc
• Polks Crossgates Discount Drugs, Inc.
• Lara Katelin Pope, SLP
• Stacey Porter
• Paula C Potratz
• Courtney A Poullard - Wright
• Thomas Logan Powell, MD

• All providers in Brandon, MS
• 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.