Individual provider Active NPI

David Scott Therrien, M.D.

  • Surgery Physician
  • Booneville, MS
National Provider Identifier
1730313974
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
22484 Issued in MS
Practice address
100 Hospital St
Booneville, MS 38829-3354
Phone
(662) 720-5490
NPI assigned
May 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 40989 AL
Surgery Physician 208600000X 22484 MS Primary

Addresses

Primary practice location

100 Hospital St
Booneville, MS 38829-3354

Mailing address

PO Box 405827
Atlanta, GA 30384-5827
Phone (901) 226-3186

Other practice location 1

1120 S Jackson Hwy Ste 203
Sheffield, AL 35660-5770
Phone (256) 314-6947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140710000265 MS Practitioner - General Surgery 2163647983 Reassigns benefits to 2 organizations
I20200717001231 AL Practitioner - General Surgery 2163647983

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians

Practice addresses (Care Compare)

100 Hospital St
Booneville, MS 38829-3354
Phone (662) 538-2535

Hospital & facility affiliations

  • Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Surgical and Bariatric Clinic PLLC Surgery CurrentSince Jul 8, 2014 Accepting new patients
Advanced Surgical Care PC Surgery CurrentSince Jul 1, 2020 Accepting new patients
Baptist Memorial Medical Group Inc Surgery CurrentSince Jan 20, 2025 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 20, 2025 Accepting new patients

Locations

203 Avalon Ave
Ste 240
Muscle Shoals, AL 35661
Phone (256) 386-4969

1120 S Jackson Hwy
Ste 203
Sheffield, AL 35660
Phone (256) 314-6947

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

456 W Bankhead St
New Albany, MS 38652
Phone (662) 534-7474

506 Azalea Dr
Oxford, MS 38655
Phone (662) 234-4744

Interoperability endpoints

  • Direct secure messaging: dtherrien657875@direct.bmhcc.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1730313974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827",
            "telephone_number": "901-226-3186",
            "fax_number": "901-226-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293354",
            "telephone_number": "662-720-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 S Jackson Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Sheffield",
            "state": "AL",
            "postal_code": "356605770",
            "country_code": "US",
            "telephone_number": "256-314-6947",
            "fax_number": "256-314-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERRIEN",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "40989",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "22484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

Verify at the official NPI Registry.