Kevin Ricks, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23348 Issued in MS

Practice address

300 Rawls Dr Ste 600
McComb, MS 39648-2862

Phone

(601) 249-4415

Fax

(601) 249-4474

NPI assigned

Apr 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Mississippi Regional Medical CenterGroup PAC ID 5193633907, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke Home Health Services Home health agency, McComb, MS, CCN 257124
• Deaconess Homecare-Region I I Home health agency, Brookhaven, MS, CCN 257135
• Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097
• King'S Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057

Merit-based Incentive Payment System (MIPS)

Final score

89.09 of 100Reported as apm

Quality

73.43

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southwest Mississippi Regional Medical Center

  • Obstetrics & Gynecology Physician
  • McComb, MS
  • NPI 1982174488
  Medicare reassignment Care Compare group NPD
• Southwest Mississippi Regional Medical Center

  • Critical Care Medicine (Internal Medicine) Physician
  • McComb, MS
  • NPI 1083712350
  NPD
• Southwest Mississippi Regional Medical Center

  • Rural Health Clinic/Center
  • Summit, MS
  • NPI 1154008811
  NPD
• Southwest Ms Regional Medical Center

  • Cardiovascular Disease Physician
  • Monticello, MS
  • NPI 1255422457
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• King'S Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  Care Compare affiliation
• South Mississippi Home Health Inc - Region II

  • Home Health Agency
  • Brookhaven, MS
  • NPI 1376533778
  Care Compare affiliation
• Southwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • McComb, MS
  • NPI 1407805971
  Care Compare affiliation
• St. Luke Home Health Services, LLC

  • Home Health Agency
  • McComb, MS
  • NPI 1255401642
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1770874687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396490490",
            "telephone_number": "601-249-2701",
            "fax_number": "601-249-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RAWLS DR STE 600",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482862",
            "telephone_number": "601-249-4415",
            "fax_number": "601-249-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482716",
            "country_code": "US",
            "telephone_number": "601-250-4200",
            "fax_number": "601-250-4203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Rawls Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482877",
            "country_code": "US",
            "telephone_number": "601-250-4381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKS",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "23348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08238055",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Y Richards
• Amanda Richardson
• Betty Richardson, CNFP
• Erica Richardson, PCMHT
• Kevin Michael Richardson, MD
• Stephanie Rizzuto Ricks, DMD
• Maria Riggins, CMHT
• Kristina Roberts, OT
• Julian B Robinson Jr., RPH
• Julie A Ross, APRN, PMHNP, FNP-BC

• Family Medicine Physician in McComb, MS
• Providers in McComb, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.

Verify at the official NPI Registry.