Susan Jenay Neely, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16690 Issued in MS

Practice address

209 E Jefferson Ave
Greenwood, MS 38930-3649

Phone

(662) 392-8163

Fax

(601) 944-9780

NPI assigned

Oct 27, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. Susan Jenay Neely Other name

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

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenwood Leflore HospitalGroup PAC ID 8123096880, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greenwood Leflore Hospital

  • Hospitalist Physician
  • Greenwood, MS
  • NPI 1720048440
  Medicare reassignment Care Compare group NPD
• Comprehensive Hospitalists of Ms, LLC

  • Hospitalist Physician
  • Amory, MS
  • NPI 1467856385
  Medicare reassignment NPD
• Comprehensive Hospitalists of Ms, LLC

  • Hospitalist Physician
  • Clarksdale, MS
  • NPI 1710371679
  NPD
• Carrollton Family Clinic

  • Family Nurse Practitioner
  • North Carrollton, MS
  • NPI 1992087019
  NPD (past)
• Greenwood Leflore Hospital

  • Gastroenterology Physician
  • Greenwood, MS
  • NPI 1689633950
  NPD (past)
• Hospitalist Medicine Physicians of Mississippi, LLC

  • Internal Medicine Physician
  • Greenwood, MS
  • NPI 1306090634
  NPD (past)
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Greenwood, MS
  • NPI 1699714717
  NPD (past)

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

• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Greenwood, MS
  • NPI 1699714717
  Care Compare affiliation

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1699765818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10389",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389300389",
            "telephone_number": "662-392-8163",
            "fax_number": "601-944-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E JEFFERSON AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389303649",
            "telephone_number": "662-392-8163",
            "fax_number": "601-944-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "SUSAN",
        "middle_name": "JENAY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00228400",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121561",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01588099",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "NEELY",
            "middle_name": "JENAY",
            "prefix": "DR.",
            "credential": "PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carrie Dillon Narmour, FNP
• Jaymar Nash
• Charles Lamar Nause Jr., DO
• Allie Dunn Neal, LPTA
• Meghin Neal, MSW
• Merideth Terney Nerren, M.S.
• New Covenant Hospice II, LLC
• New Haven Chiropractic Clinic, LLC
• New Horizon Adult Day Care
• Nexion Health at Greenwood, Inc.

• Family Medicine Physician in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.

Verify at the official NPI Registry.