NPIMap

Individual provider Active NPI

Randall Parks Frazier, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Corinth, MS
National Provider Identifier
1851314033
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
12016 Issued in MS
Practice address
611 Alcorn Dr
Suite 100
Corinth, MS 38834-9302
Phone
(662) 286-6369
Fax
(662) 286-2768
NPI assigned
Jul 26, 2006
Last updated
Jan 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 12016 MS Primary

Addresses

Primary practice location

611 Alcorn Dr
Suite 100
Corinth, MS 38834-9302

Mailing address

611 Alcorn Dr
Suite 100
Corinth, MS 38834-9302
Phone (662) 286-6369

Other identifiers 1

IdentifierTypeStateIssuer
00015139MedicaidMS

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
I20040615001295 MS Practitioner - Orthopedic Surgery 5799768313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Vanderbilt University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Orthopaedics and Sports Medicine, P.a..Group PAC ID 5395899850, 5 clinicians

Practice addresses (Care Compare)

611 Alcorn Dr
Suite 100
Corinth, MS 38834-9322
Phone (662) 286-6369

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as individual
Quality
63.1
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement24
Knee replacement41
Lower limb (leg) arthroscopy (minimally invasive joint repair)26
Upper limb (arm) arthroscopy (minimally invasive joint repair)89
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Orthopaedics & Sports Medicine, P.a. Sports Medicine CurrentSince Aug 2, 1993 Accepting new patients
Magnolia Regional Health Center Past Accepting new patients

Locations

611 Alcorn Dr
Ste 100
Corinth, MS 38834
Phone (662) 286-6369

Organizations & group practices 2

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.

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1851314033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "address_2": "SUITE 100",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349302",
            "telephone_number": "662-286-6369",
            "fax_number": "662-286-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "address_2": "SUITE 100",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349302",
            "telephone_number": "662-286-6369",
            "fax_number": "662-286-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "RANDALL",
        "middle_name": "PARKS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MS",
            "license": "12016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015139",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.