Individual provider Active NPI

Stephen Massey, M.D.

  • Family Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1740374255
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16007 Issued in MS
Practice address
5003 Hardy St Ste 100
Hattiesburg, MS 39402-1331
Phone
(601) 261-5789
Fax
(601) 268-8502
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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 16007 MS
Family Medicine Physician 207Q00000X 16007 MS Primary

Addresses

Primary practice location

5003 Hardy St Ste 100
Hattiesburg, MS 39402-1331

Mailing address

5003 Hardy St Ste 100
Hattiesburg, MS 39402-1331
Phone (601) 261-5789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, ME2 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
I20151112001040 MS Practitioner - Family Practice 0648580183 Reassigns benefits to 1 organization
I20240706000403 ME Practitioner - Family Practice 0648580183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Aroostook Medical CenterGroup PAC ID 1153233663, 117 clinicians

Practice addresses (Care Compare)

140 Academy St
Presque Isle, ME 04769-3102

146 Academy St
Presque Isle, ME 04769-3102

23 High St
Fort Fairfield, ME 04742-1021
Phone (207) 768-4753

Hospital & facility affiliations

  • Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
  • Cary Medical Center Hospital, Caribou, ME, CCN 200031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Aroostook Medical Center CurrentSince Jun 30, 2024 Accepting new patients
The Aroostook Medical Center CurrentSince Jun 30, 2024 Accepting new patients
Otaigbe Southern Medical Care, PLLC Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
The Aroostook Medical Center Current Accepting new patients
Southern Medical Care Family Medicine Past Accepting new patients

Locations

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000

6600 U S Highway 98
#B
Hattiesburg, MS 39402
Phone (601) 261-2727

Organizations & group practices 5

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 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1740374255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 HARDY ST STE 100",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021331",
            "telephone_number": "601-261-5789",
            "fax_number": "601-268-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 HARDY ST STE 100",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021331",
            "telephone_number": "601-261-5789",
            "fax_number": "601-268-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "16007",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.