NPIMap

Individual provider Active NPI

Robert Middleton, MD

  • Pulmonary Disease Physician
  • Jackson, MS
National Provider Identifier
1790734960
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
13782 Issued in MS
Practice address
971 Lakeland Dr
Suite 1052
Jackson, MS 39216-4643
Phone
(601) 914-9503
Fax
(601) 981-7895
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 13782 MS Primary

Addresses

Primary practice location

971 Lakeland Dr
Suite 1052
Jackson, MS 39216-4643

Mailing address

971 Lakeland Drive
Suite 1052
Jackson, MS 39216-2706
Phone (601) 914-9503

Other identifiers 1

IdentifierTypeStateIssuer
00120557MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331000450 MS Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5294782447 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of South Alabama College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicksburg Healthcare LLCGroup PAC ID 4688575129, 10 clinicians
Southwest Mississippi Regional Medical CenterGroup PAC ID 5193633907, 82 clinicians
Franklin County Memorial HospitalGroup PAC ID 2466355243, 37 clinicians

Practice addresses (Care Compare)

2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5001

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500

40 Union Church Rd
Meadvile, MS 39653-8336
Phone (601) 384-2273

Hospital & facility affiliations

  • Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097
  • Merit Health River Region Hospital, Vicksburg, MS, CCN 250031
  • Franklin County Memorial Hospital Hospital, Meadville, MS, CCN 251330

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin County Memorial Hospital CurrentSince Nov 15, 2018 Accepting new patients
Southwest Mississippi Regional Medical Center Current Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince May 26, 2025 Accepting new patients
Franklin County Memorial Hospital CurrentSince Nov 15, 2018 Accepting new patients
Franklin County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Vicksburg Healthcare LLC CurrentSince Mar 6, 2021 Accepting new patients
Vicksburg Healthcare LLC CurrentSince Mar 6, 2021 Accepting new patients
Southwest Mississippi Regional Medical Center Past Accepting new patients

Locations

136 Main St N
Bude, MS 39630
Phone (601) 384-2394

215 Marion Ave
#5
McComb, MS 39648
Phone (601) 249-1719

215 Marion Ave
Fl 5
McComb, MS 39648
Phone (601) 249-1719

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

40 Union Church Rd
Meadville, MS 39653
Phone (601) 384-2273

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Organizations & group practices 9

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 3

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1790734960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DRIVE",
            "address_2": "SUITE 1052",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392162706",
            "telephone_number": "601-914-9503",
            "fax_number": "601-981-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR",
            "address_2": "SUITE 1052",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164643",
            "telephone_number": "601-914-9503",
            "fax_number": "601-981-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "13782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120557",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.