Active NPI
Mark D Shepherd, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Tupelo, MS
National Provider Identifier
1760499867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 14824
- Practice address
- 670 Crossover Rd
Tupelo, MS 38801-4944 - Phone
- (662) 844-8414
- Fax
- (662) 844-7275
- NPI assigned
- Aug 2, 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 14824 | MS | Primary |
Addresses
Primary practice location
670 Crossover Rd
Tupelo, MS 38801-4944
Mailing address
PO Box 4087
Tupelo, MS 38803-4087
Phone (662) 844-4911
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHO754 | Other | MS | RAILROAD MEDICARE GROUP |
| 460001322 | Other | MS | RAILROAD MEDICARE |
| 00116650 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Emory University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
670 Crossover Rd
Tupelo, MS 38801-4944
Phone (662) 844-4911
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.32 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Devin Shepherd | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| North Mississippi Medical Center | Current | Accepting new patients |
Locations
670 Crossover Rd
Tupelo, MS 38801
Phone (662) 844-4911
Interoperability endpoints
- markshepherd@nmhs.medalliesdirect.net
Organizations & group practices 2
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Tupelo, MS
- NPI 1376559880
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Point, MS
- NPI 1639284409
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1760499867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4087",
"city": "TUPELO",
"state": "MS",
"postal_code": "388034087",
"telephone_number": "662-844-4911",
"fax_number": "662-844-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 CROSSOVER RD",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014944",
"telephone_number": "662-844-8414",
"fax_number": "662-844-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "MARK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MS",
"license": "14824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CHO754",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "460001322",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00116650",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.