NPIMap

Individual provider Active NPI

Phillip Anthony Sandifer, M.D.

  • Orthopaedic Surgery Physician
  • Oxford, MS
National Provider Identifier
1831453158
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
T-2600 Issued in MS
Practice address
100 Baptist Memorial Cir Ste 330
Oxford, MS 38655-4477
Phone
(662) 767-4201
NPI assigned
Jul 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25801 MS
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 10277685-1205 UT
Orthopaedic Surgery Physician 207X00000X T-2600 MS Primary

Addresses

Primary practice location

100 Baptist Memorial Cir Ste 330
Oxford, MS 38655-4477

Mailing address

1211 S Gloster St Ste a
Tupelo, MS 38801-6548
Phone (662) 767-4200

Other practice location 1

1211 S Gloster St Ste A
Tupelo, MS 38801-6548
Phone (662) 767-4200

Other practice location 2

118 Fairfield Dr
New Albany, MS 38652-3107
Phone (662) 767-4200

Other identifiers 1

IdentifierTypeStateIssuer
04526240MedicaidMS

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
I20180711000277 MS Practitioner - Orthopedic Surgery 5496071144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Mississippi School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Orthopedic Group of Mississippi PLLCGroup PAC ID 3577878883, 41 clinicians

Practice addresses (Care Compare)

100 Baptist Memorial Cir
Suite 330
Oxford, MS 38655-4477
Phone (662) 767-4200

Hospital & facility affiliations

  • Baptist Home Care and Hospice North Mississippi Home health agency, Batesville, MS, CCN 257114
  • Accentcare Home Health of Greenwood Home health agency, Greenwood, MS, CCN 257131
  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034
  • Tallahatchie General Hospital-Cah Hospital, Charleston, MS, CCN 251304
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement58
Knee replacement107
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10277685-1205UTMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Orthopedic Group of Mississippi PLLC Orthopaedic Surgery Current Accepting new patients
Specialty Orthopedic Group of Ms, PLLC Orthopaedic Surgery CurrentSince Apr 3, 2018 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC Orthopaedic Surgery CurrentSince Apr 3, 2018 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc Past Accepting new patients

Locations

118 Fairfield Dr
New Albany, MS 38652
Phone (662) 534-0898

723 Concordia Ave
Oxford, MS 38655

100 Baptist Memorial Cir
Ste 330
Oxford, MS 38655
Phone 6627674200 ext. 1057

1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380

4381 S Eason Blvd
Ste 102
Tupelo, MS 38801
Phone (662) 377-3380

Interoperability endpoints

  • Direct secure messaging: phillipsandifer@nmhs.medalliesdirect.net

Organizations & group practices 5

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 8

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1831453158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S GLOSTER ST STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016548",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAPTIST MEMORIAL CIR STE 330",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554477",
            "telephone_number": "662-767-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 S Gloster St Ste A",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016548",
            "country_code": "US",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Fairfield Dr",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523107",
            "country_code": "US",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDIFER",
        "first_name": "PHILLIP",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "25801",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "UT",
            "license": "10277685-1205",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "T-2600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04526240",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.