Individual provider Active NPI

Cynthia Bean, MD

  • Maternal & Fetal Medicine Physician
  • Ridgeland, MS
National Provider Identifier
1861600595
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
21041 Issued in MS
Practice address
214 Draperton Dr
Ridgeland, MS 39157-3907
Phone
(601) 973-7405
Fax
(601) 973-7406
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21041 MS
Maternal & Fetal Medicine Physician 207VM0101X 21041 MS Primary

Addresses

Primary practice location

214 Draperton Dr
Ridgeland, MS 39157-3907

Mailing address

214 Draperton Dr
Ridgeland, MS 39157-3907
Phone (601) 973-7405

Other identifiers 1

IdentifierTypeStateIssuer
00026087MedicaidMS

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
I20100806000803 MS Practitioner - Obstetrics/Gynecology 3476686767 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 Draperton Dr
Ridgeland, MS 39157-3907
Phone (601) 973-7405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21041MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Center for Advanced Medicine, PC CurrentSince Sep 1, 2017 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Oct 1, 2014 Accepting new patients
Mississippi Perinatal, PLLC Maternal & Fetal Medicine CurrentSince Jan 1, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Oct 1, 2014 Accepting new patients

Locations

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775

401 Baptist Dr
Ste 301
Madison, MS 39110
Phone (601) 973-1571

7731 Old Canton Rd
Ste B
Madison, MS 39110

214 Draperton Dr
Ridgeland, MS 39157
Phone (601) 973-7405

Interoperability endpoints

  • Direct secure messaging: cbean183363@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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1861600595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 DRAPERTON DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573907",
            "telephone_number": "601-973-7405",
            "fax_number": "601-973-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 DRAPERTON DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573907",
            "telephone_number": "601-973-7405",
            "fax_number": "601-973-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "21041",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MS",
            "license": "21041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00026087",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.