Individual provider Active NPI

Corey Wayne Sivils, M.D.

  • Diagnostic Radiology Physician
  • Jackson, MS
National Provider Identifier
1841679636
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28818 Issued in MS
Practice address
2500 N State St
Department of Medicine
Jackson, MS 39216-4500
Phone
(601) 984-5601
Fax
(601) 984-6601
NPI assigned
May 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 28818 MS Primary

Addresses

Primary practice location

2500 N State St
Department of Medicine
Jackson, MS 39216-4500

Mailing address

2500 N State St
Department of Medicine
Jackson, MS 39216-4500
Phone (601) 984-5601

Other practice location 1

178 Highway 24 E
Centreville, MS 39631-4171
Phone (601) 890-0500

Other practice location 2

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Other identifiers 1

IdentifierTypeStateIssuer
08673870MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csivils113455@directpatientrecord.com Health Information Exchange (HIE)

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
I20210715003445 MS Practitioner - Diagnostic Radiology 2961719695 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Mississippi School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Field Memorial Community HospitalGroup PAC ID 0547248544, shared by 7 NPIs, 41 clinicians
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians
Comprehensive Radiology Services PLLCGroup PAC ID 1759364946, 50 clinicians

Practice addresses (Care Compare)

178 Hwy 24 E
Centreville, MS 39631-4171
Phone (601) 890-0500

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

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

5000 W 4TH St
Hattiesburg, MS 39402-1000
Phone (800) 494-8260

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Field Memorial Community Hospital Current Accepting new patients
Franklin County Memorial Hospital CurrentSince Mar 9, 2024 Accepting new patients
Franklin County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Field Memorial Community Hospital CurrentSince Mar 1, 2024 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Jul 1, 2021 Accepting new patients
Comprehensive Radiology Services, PLLC Diagnostic Radiology CurrentSince May 1, 2014 Accepting new patients
Field Memorial Community Hospital CurrentSince Jun 9, 2024 Accepting new patients
Field Memorial Community Hospital CurrentSince Mar 1, 2024 Accepting new patients
Franklin County Memorial Hospital CurrentSince Mar 9, 2024 Accepting new patients
Hattiesburg Clinic PA CurrentSince Jul 1, 2021 Accepting new patients

Locations

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

178 Highway 24 E
Centreville, MS 39631
Phone (601) 890-0500

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

5000 W 4th St
Hattiesburg, MS 39402
Phone (601) 264-2121

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

347 Magnolia Dr
Raleigh, MS 39153
Phone (601) 374-9070

Interoperability endpoints

  • Direct secure messaging: csivils113455@directpatientrecord.com

Organizations & group practices 10

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 5

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1841679636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5601",
            "fax_number": "601-984-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5601",
            "fax_number": "601-984-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Highway 24 E",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "MS",
            "postal_code": "396314171",
            "country_code": "US",
            "telephone_number": "601-890-0500",
            "fax_number": "601-645-5873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-264-6000",
            "fax_number": "601-268-5813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVILS",
        "first_name": "COREY",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "28818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08673870",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csivils113455@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "415 S 28th Ave",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394017246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.