Individual provider Active NPI

Brian D McCoy, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tupelo, MS
National Provider Identifier
1851338602
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
17680 Issued in MS
Practice address
830 S Gloster St
Tupelo, MS 38801-4934
Phone
(662) 377-4161
NPI assigned
Jun 1, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060918000159 MS Practitioner - Family PracticePractitioner - Rheumatology 5496759979 Reassigns benefits to 7 organizations
I20171012003533 AL Practitioner - Family Practice 5496759979 Reassigns benefits to 1 organization

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
Relias Emergency Medicine Specialists of Hamilton, LLCGroup PAC ID 0547599490, 9 clinicians
Pontotoc Health Services, Inc.Group PAC ID 6002895356, 18 clinicians

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

LicenseStateTypeSpecialty
17680MSMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cain Clinic of Eupora CurrentSince Aug 14, 2012 Accepting new patients
Relias Emergency Medicine Specialists of Amory, LLC CurrentSince Jan 15, 2024 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC CurrentSince May 10, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Relias Emergency Medicine Specialists of Hamilton, LLC CurrentSince Oct 22, 2019 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Jan 21, 2020 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Jan 21, 2020 Accepting new patients
Relias Hospitalist Medicine Specialists of Pontotoc LLC CurrentSince Jul 1, 2025 Accepting new patients
Donald P. McCurdy, MD, PC PastSince Jul 15, 2017 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 PastSince Dec 20, 2005 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

  • Direct secure messaging: brian.mccoy.1@20757.direct.athenahealth.com
  • Direct secure messaging: brian.mccoy.1@29425.direct.athenahealth.com
  • Direct secure messaging: brianmccoy@nmhs.medalliesdirect.net
  • FHIR API: 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.

FacilityTypeRoleSince
Cain Clinic of EuporaEupora, MS, CCN A53804 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.

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.

View all 14

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": "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

Verify at the official NPI Registry.