Active NPI
Brian D McCoy, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 17680
- Practice address
- 830 S Gloster St
Tupelo, MS 38801-4934 - Phone
- (662) 377-4161
- NPI assigned
- Jun 1, 2006
- Last updated
- Nov 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 17680 | MS | Primary |
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | 17680 | MS |
Addresses
Primary practice location
830 S Gloster St
Tupelo, MS 38801-4934
Mailing address
105 Ridgeview CV
Tupelo, MS 38801-0400
Phone (662) 407-0943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1256 Military St S
Hamilton, AL 35570-5003
Phone (205) 921-6200
176 S Main St
Pontotoc, MS 38863-3311
Phone (601) 489-5510
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17680 | MS | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cain Clinic of Eupora | Current | Accepting new patients | |
| Relias Emergency Medicine Specialists of Amory, LLC | Current | Accepting new patients | |
| Relias Emergency Medicine Specialists of West Point, LLC | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Relias Emergency Medicine Specialists of Hamilton, LLC | Current | Accepting new patients | |
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| Relias Hospitalist Medicine Specialists of Pontotoc LLC | Current | Accepting new patients | |
| Donald P. McCurdy, MD, PC | Past | Accepting new patients | |
| Paragon Contracting Services LLC | Past | Accepting new patients | |
| Mount Airy Emergency Physicians, PLLC | Past | Accepting new patients | |
| North Ms Emergency Physicians | Past | Accepting new patients | |
| North Mississippi Baromedical | Undersea and Hyperbaric Medicine | Past | Accepting new patients |
Locations
1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
1538 Veterans Memorial Blvd
Eupora, MS 39744
Phone (662) 258-7533
176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321
Interoperability endpoints
- brian.mccoy.1@20757.direct.athenahealth.com
- brian.mccoy.1@29425.direct.athenahealth.com
- brianmccoy@nmhs.medalliesdirect.net
- https://api.platform.athenahealth.com/20757/brand/3/csg/22/fhir/r4
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Cain Clinic of Eupora | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) Operational/Managerial Control (100%) |
Aug 14, 2012 Aug 14, 2012 Aug 14, 2012 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Family Medicine Physician
- Eupora, MS
- NPI 1205180882
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Eupora, MS
- NPI 1205180882
-
dba Pontotoc Health Services CAH
- Critical Access Hospital
- Pontotoc, MS
- NPI 1821103516
-
- Emergency Medicine Physician
- Hamilton, AL
- NPI 1457912297
-
- Emergency Medicine Physician
- Amory, MS
- NPI 1265074769
-
- Emergency Medicine Physician
- West Point, MS
- NPI 1275172736
-
- Hospitalist Physician
- Pontotoc, MS
- NPI 1972189330
-
- Emergency Medicine Physician
- Tupelo, MS
- NPI 1841664661
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
dba Pontotoc Health Services CAH - Swing Bed
- Critical Access Hospital
- Pontotoc, MS
- NPI 1962512871
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Tupelo, MS
- NPI 1992759435
-
- Emergency Medicine Physician
- Tupelo, MS
- NPI 1891724035
-
- Ophthalmology Physician
- Birmingham, AL
- NPI 1013028414
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Pontotoc Health Services CAH
- Critical Access Hospital
- Pontotoc, MS
- NPI 1821103516
-
dba Marion Regional Medical Center
- General Acute Care Hospital
- Hamilton, AL
- NPI 1932160082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1851338602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 RIDGEVIEW CV",
"city": "TUPELO",
"state": "MS",
"postal_code": "388010400",
"telephone_number": "662-407-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014934",
"telephone_number": "662-377-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "BRIAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MS",
"license": "17680",
"primary": true
},
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "MS",
"license": "17680",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.