Individual provider Active NPI

Edward P Farley, M.D.

  • Diagnostic Radiology Physician
  • Jackson, MS
National Provider Identifier
1750475331
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
RT-1455 Issued in NH
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

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01233211OtherMSRAILROAD MEDICARE
2179578MedicaidLA
157569MedicaidAL
07721059MedicaidMS

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
I20110922000535 MS Practitioner - Diagnostic Radiology 6507914199 Reassigns benefits to 1 organization
I20180525002218 AL Practitioner - Diagnostic Radiology 6507914199 Reassigns benefits to 3 organizations

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
Montgomery Radiology Associates PAGroup PAC ID 2961301999, 39 clinicians
Selma Radiology Associates P CGroup PAC ID 3870497720, 28 clinicians
Alabama Imaging PCGroup PAC ID 2365341328, 32 clinicians

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 Hospital, Montgomery, AL, CCN 010023
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029
  • Vaughan Regional Medical Center Parkway Campus Hospital, Selma, AL, CCN 010118

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RT-1455NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Southern Imaging Specialists, LLC CurrentSince Dec 28, 2017 Accepting new patients
Alabama Imaging PC CurrentSince Jan 1, 2018 Accepting new patients
Selma Radiology Associates P C CurrentSince Jan 1, 2018 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 6, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.