Philip A Azordegan, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

11697 Issued in MS

Practice address

2470 Flowood Drive
Flowood, MS 39232

Phone

(877) 554-4257

Fax

(601) 983-2845

NPI assigned

Jul 10, 2006

Last updated

Oct 7, 2009By the provider in NPPES

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

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

Neurosurgery

Education

Johns Hopkins University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newsouth Neurospine, LLCGroup PAC ID 2163591579, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
• Merit Health River Region Hospital, Vicksburg, MS, CCN 250031

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newsouth Neurospine, LLC.

  • Neurological Surgery Physician
  • Flowood, MS
  • NPI 1326222548
  Medicare reassignment Care Compare group NPD
• Newsouth Neurospine, LLC

  dba NewSouth NeuroSpine Pain Center

  • Pain Clinic/Center
  • Flowood, MS
  • NPI 1770743031
  NPD

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

• River Oaks Hospital LLC

  dba Merit Health River Oaks

  • General Acute Care Hospital
  • Flowood, MS
  • NPI 1396792032
  Care Compare affiliation
• Vicksburg Healthcare LLC

  dba Merit Health River Region

  • General Acute Care Hospital
  • Vicksburg, MS
  • NPI 1215981303
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1841224367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "877-554-4257",
            "fax_number": "601-983-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "877-554-4257",
            "fax_number": "601-983-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZORDEGAN",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MS",
            "license": "11697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Attentive Care Nursing
• Avickwel, LLC (Talkbable Moments)
• Uma Mahesh Reddy Avula, MD
• Axis Point Wellness & Solutions
• Madison Greer Aycock, NP
• Back Clinic, LLC (Back Clinic of Mississippi)
• Abdul G Bahro, MD
• Shimeka Lanette Banks, M.D.
• Baptist Medical Clinic - Convenient Care
• Baptist PT - Flowood

• Neurological Surgery Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Neurological Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.