Individual provider Active NPI

Mark D Shepherd, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Tupelo, MS
National Provider Identifier
1760499867
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
14824 Issued in MS
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

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CHO754OtherMSRAILROAD MEDICARE GROUP
460001322OtherMSRAILROAD MEDICARE
00116650MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000348 MS Practitioner - Endocrinology 3375543002 Reassigns benefits to 1 organization

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
Mark Devin ShepherdGroup PAC ID 7012917743, 2 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Mark Devin Shepherd Endocrinology, Diabetes & Metabolism CurrentSince Jul 18, 1996 Accepting new patients
North Mississippi Medical Center Current Accepting new patients

Locations

670 Crossover Rd
Tupelo, MS 38801
Phone (662) 844-4911

Interoperability endpoints

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.