Active NPI
Edward P Farley, M.D.
- Diagnostic Radiology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- RT-1455
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 815-5615
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | RT-1455 | NH | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-5615
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01233211 | Other | MS | RAILROAD MEDICARE |
| 2179578 | Medicaid | LA | |
| 157569 | Medicaid | AL | |
| 07721059 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tulane University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Crestview Ave
Evergreen, AL 36401-3333
Phone (251) 578-2480
1015 Medical Ctr Pkwy
Selma, AL 36701-6748
Phone (334) 418-4100
105 US Hwy 80 E
Demopolis, AL 36732-3605
Phone (800) 889-8610
124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0651
126 Hospital Ave
Ozark, AL 36360-2018
Phone (334) 774-2601
1301 Belleville Ave
Brewton, AL 36426-1306
Phone (800) 889-8610
1330 Hwy 231 S
Troy, AL 36081-3058
Phone (334) 670-5000
14600 Saint Stephens Ave
Chatom, AL 36518-6711
Phone (251) 847-2223
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 269-6337
2016 S Alabama Ave
Monroeville, AL 36460-3044
Phone (800) 889-8610
2055 Normandie Dr
Montgomery, AL 36111-2732
Phone (334) 288-2100
208 Pierson Ave
Centreville, AL 35042-2918
Phone (205) 926-3246
2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100
220 Hospital Dr
Jackson, AL 36545-2459
Phone (251) 246-9021
317 McWilliams Ave
Camden, AL 36726-1610
Phone (334) 682-4131
400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330
401 Medical Park Dr
Atmore, AL 36502-3006
Phone (251) 368-2500
Hospital & facility affiliations
- Baptist Medical Center South
- Prattville Baptist Hospital
- Baptist Medical Center East
- The East Alabama Healthcare Authority
- Vaughan Regional Medical Center Parkway Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT-1455 | NH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Southern Imaging Specialists, LLC | Current | Accepting new patients | |
| Alabama Imaging PC | Current | Accepting new patients | |
| Selma Radiology Associates P C | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients |
Locations
105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669
2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100
965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775
239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321
Interoperability endpoints
- efarley9907@ummc.direct-ci.com
Organizations & group practices 6
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.
-
- Specialist
- Montgomery, AL
- NPI 1689621211
-
- Specialist
- Montgomery, AL
- NPI 1669429296
-
- Specialist
- Montgomery, AL
- NPI 1023046604
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Family Medicine Physician
- Lexington, MS
- NPI 1013020395
-
- Physiological Laboratory
- Montgomery, AL
- NPI 1962468256
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
-
- Rural Acute Care Hospital
- Selma, AL
- NPI 1871655993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1750475331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "EDWARD",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NH",
"license": "RT-1455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01233211",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2179578",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157569",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07721059",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.