Individual provider Active NPI

Phyllis Elaine Mason, M.D.

  • Diagnostic Radiology Physician
  • Tupelo, MS
National Provider Identifier
1881636645
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
06656 Issued in MS
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.

View all 23

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 Inc 26 clinicians
Baptist Memorial Hospital - Calhoun Inc 24 clinicians
Winston County Medical Foundation 29 clinicians
Tate County Hospital 35 clinicians

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 Hospital, Louisville, MS, CCN 250027
  • Highland Hills Medical Center Hospital, Senatobia, MS, CCN 250172
  • Webster General Hospital/ Swing Bed Hospital, Eupora, MS, CCN 250020
  • Monroe Regional Hospital Hospital, Aberdeen, MS, CCN 251302

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
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

LicenseStateTypeSpecialty
06656MSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tippah County Hospital CurrentSince Sep 1, 2023 Accepting new patients
Winston County Medical Foundation CurrentSince Feb 5, 2024 Accepting new patients
Choctaw Regional Medical Center Current Accepting new patients
Baptist Memorial Hospital - Calhoun, Inc CurrentSince Sep 1, 2023 Accepting new patients
Tippah County Hospital CurrentSince Sep 1, 2023 Accepting new patients
Medical Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Premier Radiology, Inc Diagnostic Radiology CurrentSince Oct 2, 2001 Accepting new patients
Oxford Pre Op & Imaging Center LLC CurrentSince Sep 29, 2018 Accepting new patients
Tate County Hospital CurrentSince May 1, 2023 Accepting new patients
Baptist Memorial Hospital-Calhoun Inc Current Accepting new patients
Wave Diagnostics LLC CurrentSince Jul 1, 2025 Accepting new patients
Tate County Hospital CurrentSince May 1, 2023 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 CurrentSince Jan 16, 2021 Accepting new patients
Imaging Center at Gloster Creek Village PLLC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Baptist Memorial Hospital-Calhoun Inc CurrentSince Sep 1, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJABD
  • FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de
  • Direct secure messaging: phyllis.mason.1@15070.direct.athenahealth.com
  • Direct secure messaging: phyllismason@nmhs.medalliesdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 06656 MS Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
02284339MedicaidMS
300138467OtherMSRAILROAD MEDICARE
009919405MedicaidAL
300001102OtherMEDICARE

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

Verify at the official NPI Registry.