Joseph R. Acosta, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Meridian, MS
NPI 1720060551 · NPPES record last updated Nov 9, 2013
Key facts
- NPI
- 1720060551
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 12470 (MS)
- Practice address
- 1800 12TH St
Meridian, MS 39301-4158 - Phone
- (601) 703-9222
- Fax
- (601) 703-6770
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Mississippi School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Obhg Mississippi PC
Practice addresses (Care Compare)
1314 19TH Ave
Meridian, MS 39301-4116
Phone (864) 908-3530
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100901000172 | MS | Practitioner - Obstetrics/Gynecology | 8921122755 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12470 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laird Hospital, Inc | Current |
Accepting new patients | |
| Rush Medical Foundation | Current |
Accepting new patients | |
| Obhg Mississippi, P.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Laird Hospital, Inc. | Current | Accepting new patients | |
| Laird Hospital, Inc. | Current |
Accepting new patients | |
| Rush Medical Foundation | Current | Accepting new patients | |
| Rush Medical Foundation | Current |
Accepting new patients | |
| Rush Medical Foundation | Past | Accepting new patients |
Locations
9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
905C S Frontage Rd
Meridian, MS 39301
Phone (601) 482-4955
1800 12th St
Meridian, MS 39301
Phone (601) 483-0011
1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011
1106 Central Dr
Philadelphia, MS 39350
Phone (601) 650-9664
603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123
25117 Highway 15
Union, MS 39365
Phone (601) 774-8214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 12470 | MS | Yes |
Addresses
Primary practice location
1800 12TH St
Meridian, MS 39301-4158
Mailing address
PO Box 5183
Meridian, MS 39302-5183
Phone (601) 703-4282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160058121 | Other | RAILROAD MEDICARE | |
| 00113758 | Medicaid | MS | |
| 730-07727 | Other | BLUE CROSS OF AL | |
| 009995840 | Medicaid | AL |
Other providers in Meridian, MS
- A1 in Home Therapy
- Nigma D Abduljaber
- Abitacare, LLC
- Richard S. Abney
- Frank Perron Achorn Jr.
- Bobby Lester Adams
- Suzanne Adcock
- Shelly Addkison
- Onaola Adedeji
- Courtney T Adkins
All providers in Meridian, MS · Obstetrics & Gynecology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.