Individual provider Active NPI

Elmo P Gabbert

  • General Acute Care Hospital
  • Meadville, MS
National Provider Identifier
1720209257
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
04510 Issued in MS
Practice address
40 Union Church Rd
Meadville, MS 39653
Phone
(601) 384-5801
Fax
(601) 384-4100
NPI assigned
May 1, 2007
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 04510 MS Primary

Addresses

Primary practice location

40 Union Church Rd
Meadville, MS 39653

Mailing address

PO Box 636
Meadville, MS 39653
Phone (601) 384-5801

Other identifiers 1

IdentifierTypeStateIssuer
0011530MedicaidMS

Other names 1

  • Dr. Elmo P Gabbert Jr. Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101012000463 MS Practitioner - Family PracticePractitioner - Emergency Medicine 4486846243 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04510MSMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin County Memorial Hospital CurrentSince Dec 1, 2015 Accepting new patients
Franklin County Memorial Hospital General Acute Care Hospital CurrentSince Dec 1, 2015 Accepting new patients
Franklin County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients

Locations

136 Main St N
Bude, MS 39630
Phone (601) 384-2394

40 Union Church Rd
Meadville, MS 39653
Phone (601) 384-2273

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1720209257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "39653",
            "telephone_number": "601-384-5801",
            "fax_number": "601-384-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UNION CHURCH RD",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "39653",
            "telephone_number": "601-384-5801",
            "fax_number": "601-384-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBERT",
        "first_name": "ELMO",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "04510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011530",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELMO",
            "last_name": "GABBERT",
            "middle_name": "P",
            "prefix": "DR.",
            "suffix": "JR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Meadville, MS

Sources for this page

Verify at the official NPI Registry.