Active NPI
Phyllis Elaine Mason, M.D.
- Diagnostic Radiology Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 06656
- Practice address
- 620 Crossover Road
Tupelo, MS 38801-4944 - Phone
- (662) 620-7101
- Fax
- (662) 842-1457
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
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.
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1083669121
AL, Diagnostic Radiology, MS
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1417907536
Diagnostic Radiology, MS
-
- Radiology Clinic/Center
- Starkville, MS
- NPI 1730281148
Diagnostic Radiology, MS
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1316075864
Diagnostic Radiology, MS
-
- Rural Health Clinic/Center
- Calhoun City, MS
- NPI 1174043632
-
- Medicare Defined Swing Bed Hospital Unit
- Calhoun City, MS
- NPI 1144776329
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Aberdeen, MS
- NPI 1285164046
Hospital
-
- General Acute Care Hospital
- Louisville, MS
- NPI 1073597126
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Tennessee, HSC, College of Medicine, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Radiology IncBaptist Memorial Hospital - Calhoun IncWinston County Medical FoundationTate County Hospital
Practice addresses (Care Compare)
1256 Military St S
Hamilton, AL 35570-5003
Phone (205) 921-6200
140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6611
17550 E Main St
Louisville, MS 39339-2772
Phone (662) 773-6211
3509 Hwy 4 W
Sarah, MS 38665-3567
Phone (662) 612-0311
401 Getwell Dr
Senatobia, MS 38668-2213
Phone (662) 612-0311
620 Crossover Rd
Tupelo, MS 38801-4944
Phone (662) 620-7101
Hospital & facility affiliations
- Winston Medical Center
- Highland Hills Medical Center
- Webster General Hospital/ Swing Bed
- Monroe Regional Hospital
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041209000615 | MS | Practitioner - Diagnostic Radiology | 6507822640 | Reassigns benefits to 10 organizations |
| I20200415003499 | AL | Practitioner - Diagnostic Radiology | 6507822640 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06656 | MS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tippah County Hospital | Current | Accepting new patients | |
| Winston County Medical Foundation | Current | Accepting new patients | |
| Choctaw Regional Medical Center | Current | Accepting new patients | |
| Baptist Memorial Hospital - Calhoun, Inc | Current | Accepting new patients | |
| Tippah County Hospital | Current | Accepting new patients | |
| Medical Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Premier Radiology, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Oxford Pre Op & Imaging Center LLC | Current | Accepting new patients | |
| Tate County Hospital | Current | Accepting new patients | |
| Baptist Memorial Hospital-Calhoun Inc | Current | Accepting new patients | |
| Wave Diagnostics LLC | Current | Accepting new patients | |
| Tate County Hospital | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Tippah County Hospital | Current | Accepting new patients | |
| Imaging Centers for Excellence, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Center at Gloster Creek Village PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Memorial Hospital-Calhoun Inc | Current | Accepting new patients | |
| Medplus Urgent Clinic LLC | Past | Accepting new patients |
Locations
1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200
400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455
8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400
112 Medical Arts Dr
Calhoun City, MS 38916
Phone (662) 628-1274
17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072
1202 Office Park Dr
Ste A
Oxford, MS 38655
Phone (662) 234-5545
1005 City Ave N
#A
Ripley, MS 38663
Phone (662) 837-2202
1005 City Ave N
Ripley, MS 38663
Phone (601) 837-9221
3509 Highway 4 W
Sarah, MS 38665
Phone (662) 612-0311
401 Getwell Dr
Senatobia, MS 38668
Phone (662) 562-3100
140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611
1207 Highway 182 W
Ste A
Starkville, MS 39759
Phone (662) 320-6800
620 Crossover Rd
Tupelo, MS 38801
Phone (662) 620-7101
616 Crossover Rd
Tupelo, MS 38801
Phone (662) 377-6820
320 S Gloster St
Tupelo, MS 38801
Phone (662) 821-1831
620 Crossover Rd
#A
Tupelo, MS 38801
891 Mississippi Dr
Tupelo, MS 38804
Phone (662) 377-6800
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBJABD
- https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de
- phyllis.mason.1@15070.direct.athenahealth.com
- phyllismason@nmhs.medalliesdirect.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 06656 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
620 Crossover Road
Tupelo, MS 38801-4944
Mailing address
PO Box 830525
Dept. #R24
Birmingham, AL 35283-0525
Phone (662) 842-1758
Other practice location 1
140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6622
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02284339 | Medicaid | MS | |
| 300138467 | Other | MS | RAILROAD MEDICARE |
| 009919405 | Medicaid | AL | |
| 300001102 | Other | MEDICARE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2023.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1881636645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 830525",
"address_2": "DEPT. #R24",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352830525",
"telephone_number": "662-842-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CROSSOVER ROAD",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014944",
"telephone_number": "662-620-7101",
"fax_number": "662-842-1457"
}
],
"practiceLocations": [
{
"address_1": "140 Burke Calhoun City Rd",
"address_purpose": "LOCATION",
"city": "Calhoun City",
"state": "MS",
"postal_code": "389169690",
"country_code": "US",
"telephone_number": "662-628-6622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASON",
"first_name": "PHYLLIS",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "06656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02284339",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300138467",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009919405",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "300001102",
"state": null
}
],
"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 Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.