Individual provider Active NPI

Ross Elliott Straughan

  • Student in an Organized Health Care Education/Training Program
  • Jackson, MS
National Provider Identifier
1780210823
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4280 Forest Park Dr
Jackson, MS 39211-6034
Phone
(417) 880-2117
NPI assigned
Mar 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

4280 Forest Park Dr
Jackson, MS 39211-6034

Mailing address

4280 Forest Park Dr
Jackson, MS 39211-6034
Phone (417) 880-2117

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
I20250621000190 MS Practitioner - Urology 5294157194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Mississippi School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Urology Associates PLLCGroup PAC ID 1951336148, 17 clinicians

Practice addresses (Care Compare)

2168 S Lamar Blvd
Oxford, MS 38655-5224
Phone (662) 234-1448

Hospital & facility affiliations

  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
Oxford Urology Associates, PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1201 Medical Park Dr
Oxford, MS 38655
Phone (622) 234-1448

2168 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-1448

2089 Southridge Dr
Tupelo, MS 38801
Phone (662) 407-0801

Interoperability endpoints

  • Direct secure messaging: rstraughan@urovive.emadirect.md
  • Direct secure messaging: rossstraughan@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 4

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1780210823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 FOREST PARK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116034",
            "telephone_number": "417-880-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 FOREST PARK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116034",
            "telephone_number": "417-880-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUGHAN",
        "first_name": "ROSS",
        "middle_name": "ELLIOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.