NPIMap

Individual provider Active NPI

Adam C Byrd, M.D.

  • Dermatology Physician
  • Louisville, MS
National Provider Identifier
1689969735
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
24305 Issued in MS
Practice address
313 N Court Ave
Ummc Dermatology - Louisville Clinic
Louisville, MS 39339
Phone
(601) 815-3374
Fax
(601) 815-0439
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 24305 MS Primary

Addresses

Primary practice location

313 N Court Ave
Ummc Dermatology - Louisville Clinic
Louisville, MS 39339

Mailing address

313 N Court Ave
Ummc - Dermatology Louisville
Louisville, MS 39339
Phone (601) 815-3374

Other identifiers 2

IdentifierTypeStateIssuer
06383271MedicaidMS
P01696336OtherMSRAILROAD MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803002569 MS Practitioner - Dermatology 7113140997 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 5, 2016 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 5, 2016 Accepting new patients
WMC Emergency Services LLC CurrentSince Jun 10, 2022 Accepting new patients
Winston County Medical Foundation CurrentSince Jan 29, 2019 Accepting new patients

Locations

1010 Lakeland Pl
Flowood, MS 39232
Phone (601) 815-0600

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

17280 E Main St
Louisville, MS 39339

17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072

Interoperability endpoints

  • Direct secure messaging: adam.byrd.1@15070.direct.athenahealth.com

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Mississippi School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WMC Emergency Services LLC 13 clinicians
Winston County Medical Foundation 29 clinicians
State of Mississippi - University of Mississippi Medical Center 956 clinicians

Practice addresses (Care Compare)

17550 E Main St
Louisville, MS 39339-2772
Phone (662) 446-1072

2500 N State St
Jackson, MS 39216-4500
Phone (601) 898-4404

Hospital & facility affiliations

  • Winston Medical Center Hospital, Louisville, MS, CCN 250027
  • University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision85
Removal of tissue1-10
Removal of skin lesions816
Removal of nail tissue1-10
Removal or shaving of skin growth17
Skin biopsy193

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689969735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N COURT AVE",
            "address_2": "UMMC - DERMATOLOGY LOUISVILLE",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "39339",
            "telephone_number": "601-815-3374",
            "fax_number": "601-815-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N COURT AVE",
            "address_2": "UMMC DERMATOLOGY - LOUISVILLE CLINIC",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "39339",
            "telephone_number": "601-815-3374",
            "fax_number": "601-815-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "ADAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "24305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06383271",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01696336",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

Verify at the official NPI Registry.