Donald W Ratliff, M.D.
Individual provider Active NPI Family Medicine Physician · Belmont, MS
NPI 1871597385 · NPPES record last updated Jun 30, 2014
Key facts
- NPI
- 1871597385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 7354 (MS)
- Practice address
- 102 Third St
Belmont, MS 38827-0190 - Phone
- (662) 454-3401
- Fax
- (662) 454-3401
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040210001009 | AL | Practitioner - Family Practice | 0446144570 | Reassigns benefits to 1 organization |
| I20110119001339 | MS | Practitioner - Family Practice | 0446144570 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7354 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boa Vida Hospital of Aberdeen, Ms LLC | Current |
Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current |
Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current |
Accepting new patients | |
| HH Health System - Shoals LLC | Current | Accepting new patients | |
| HH Health System - Shoals LLC | Current |
Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Past | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Past | Accepting new patients | |
| D.W. Ratliff | Past | Accepting new patients |
Locations
211 Hospital Rd
Red Bay, AL 35582
Phone (256) 356-8160
400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455
19 3rd St
Belmont, MS 38827
Phone (662) 454-3401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7354 | MS | Yes |
| Family Medicine Physician | 207Q00000X | 8253 | AL |
Addresses
Primary practice location
102 Third St
Belmont, MS 38827-0190
Mailing address
PO Box 190
Belmont, MS 38827-0190
Phone (662) 454-3401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00016909 | Medicaid | MS | |
| 082945519 | Other | MS | MEDICARE PROVIDER NUMBER |
Other providers in Belmont, MS
- Jerry Christopher Moss
- Ms Medical Associates LLC
- North Ms Rehab Inc
- Michelle Brittany O'Brien
- Pinnacle Rehabilitation, LLC
- Lisa Collums Rhea
- Amy Robinson
- Senter Medical Clinic, PC
- Senter Medical Clinic, PC
- Stephen K Senter
All providers in Belmont, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.