NPIMap

Individual provider Active NPI

Charles Frye, M.D.

  • Internal Medicine Physician
  • Pascagoula, MS
National Provider Identifier
1740331099
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
313185 Issued in LA
Practice address
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone
(228) 809-5510
Fax
(228) 809-5519
NPI assigned
Jan 15, 2007
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 313185 LA Primary
Internal Medicine Physician 207R00000X MS17625 MS

Addresses

Primary practice location

2809 Denny Ave
Pascagoula, MS 39581-5301

Mailing address

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5510

Other identifiers 4

IdentifierTypeStateIssuer
110245945OtherMEDICARE RAILROAD
009945355MedicaidAL
646000515EOtherBLUE CROSS OF MS
CF05970562MedicaidMS

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
I20120213000750 MS Practitioner - Internal Medicine 7214194661 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Hospitalist Medicine Specialists of West Point LLCGroup PAC ID 4688002322, 15 clinicians
Relias Hospitalist Medicine Specialists of Pontotoc LLCGroup PAC ID 0143629592, 9 clinicians
RH Hospitalist Medicine of Och Regional LLCGroup PAC ID 8325573074, 9 clinicians

Practice addresses (Care Compare)

150 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 495-2300

176 S Main St
Pontotoc, MS 38863-3311
Phone (662) 489-5510

400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 432-4106

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313185LAMDInternal Medicine Physician
MS17625MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince May 20, 2002 Accepting new patients
RH Emergency Medicine of Och Regional LLC CurrentSince Nov 1, 2024 Accepting new patients
RH Hospitalist Medicine of Och Regional LLC CurrentSince Nov 1, 2024 Accepting new patients
Medical Foundation of Central Ms CurrentSince Nov 9, 2013 Accepting new patients
Relias Hospitalist Medicine Specialists of Amory LLC CurrentSince Aug 1, 2020 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Singing River Gulfport Internal Medicine CurrentSince Sep 24, 2021 Accepting new patients
Relias Hospitalist Medicine Specialists of West Point LLC CurrentSince Jul 15, 2021 Accepting new patients
Singing River Gulfport CurrentSince Sep 24, 2021 Accepting new patients
Relias Hospitalist Medicine Specialists of Pontotoc LLC CurrentSince Aug 19, 2024 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Internal Medicine CurrentSince Nov 9, 2013 Accepting new patients
Oktibbeha County Hospital Past Accepting new patients
Baptist Memorial Hosp Oktibbeha County Inc. Past Accepting new patients
Clay County Medical Corporation Past Accepting new patients
Clay County Medical Corporation Past Accepting new patients
Pontotoc Health Services, Inc. Past Accepting new patients
Pontotoc Health Services, Inc. Past Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: charlesfrye@nmhs.medalliesdirect.net

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 8

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1740331099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-809-5510",
            "fax_number": "228-809-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-809-5510",
            "fax_number": "228-809-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "313185",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "MS17625",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110245945",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009945355",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MS",
            "identifier": "646000515E",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CF05970562",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.