Individual provider Active NPI

Eric E McClendon

  • Cardiovascular Disease Physician
  • Columbus, MS
National Provider Identifier
1841566288
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
23906 Issued in MS
Practice address
520 Willowbrook Rd
Columbus, MS 39705-2015
Phone
(662) 240-1412
Fax
(662) 240-1949
NPI assigned
Mar 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 23906 MS Primary

Addresses

Primary practice location

520 Willowbrook Rd
Columbus, MS 39705-2015

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

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
I20180720001080 MS Practitioner - Cardiovascular Disease (Cardiology) 2365750023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Mississippi School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

107 Brandon Rd
Starkville, MS 39759-2521
Phone (662) 240-1412

2520 5TH St N
Columbus, MS 39705-2008
Phone (662) 244-2042

255 Baptist Blvd
Columbus, MS 39705-2006

400 Hospital Rd
Starkville, MS 39759-2163
Phone (662) 615-3711

520 Willowbrook Rd
Columbus, MS 39705-2015
Phone (662) 240-1412

8613 Ms Hwy 12
Ackerman, MS 39735-8917
Phone (662) 240-1412

PO Box
Suite 405827
Atlanta, GA 30384-5827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.17 of 100Reported as group
Quality
88.62
Promoting interoperability
100
Improvement activities
40
Cost
77.86

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting35
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. CurrentSince Jan 16, 2021 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

520 Willowbrook Rd
Columbus, MS 39705
Phone (662) 240-1412

307 Hospital Rd
Starkville, MS 39759
Phone (662) 615-3721

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Interoperability endpoints

  • Direct secure messaging: emcclendon372278@direct.bmhcc.org

Organizations & group practices 4

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 2

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1841566288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WILLOWBROOK RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052015",
            "telephone_number": "662-240-1412",
            "fax_number": "662-240-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "ERIC",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "23906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.