Paul W Pierce IV, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Vicksburg, MS
NPI 1821005265 · NPPES record last updated Sep 14, 2020
Key facts
- NPI
- 1821005265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 17287 (MS)
- Practice address
- 2100 Highway 61 N
Vicksburg, MS 39183-8211 - Phone
- (601) 883-5000
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Mississippi School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vicksburg Clinic LLC
Practice addresses (Care Compare)
2080 S Frontage Rd
Vicksburg, MS 39180-5328
Phone (601) 883-6304
2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000
2200 Hwy 61 N
Vicksburg, MS 39183-8246
54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 883-5858
54 SGT Prentiss Dr
Suite 103
Natchez, MS 39120-4726
Phone (601) 883-5858
Hospital & facility affiliations
- Centerwell Home Health
- Enhabit Home Health
- Merit Health River Region
- Sharkey Issaquena Community Hospital
- Merit Health Natchez
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 63 |
| Pacemaker insertion or repair | 52 |
| Leg revascularization (restoring blood flow) | 38 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050531000749 | MS | Practitioner - Cardiovascular Disease (Cardiology) |
9335181379 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicksburg Healthcare LLC | Current |
Accepting new patients | |
| Vicksburg Clinic LLC | Current |
Accepting new patients | |
| Vicksburg Healthcare LLC | Current |
Accepting new patients | |
| Vicksburg Clinic LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100
54 Sgt Prentiss Dr
Ste 103
Natchez, MS 39120
Phone (601) 883-5858
123 McComb Ave
Port Gibson, MS 39150
Phone (601) 437-5141
104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271
2080 S Frontage Rd
Ste 100
Vicksburg, MS 39180
Phone (601) 262-1000
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 17287 | MS | Yes |
Addresses
Primary practice location
2100 Highway 61 N
Vicksburg, MS 39183-8211
Mailing address
4211 Berlin Dr
Jackson, MS 39211-6016
Phone (601) 613-9597
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060000818 | Medicaid | MS | |
| P00215144 | Other | MS | RAILROAD MEDICARE |
| 06581329 | Medicaid | MS | |
| 1028835 | Medicaid | LA | |
| 731-04204 | Other | AL | BCBS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | paul.pierce.1@1475.direct.athenahealth.com |
Other providers in Vicksburg, MS
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- Holly Pittman
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All providers in Vicksburg, MS · Cardiovascular Disease Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.