Individual provider Active NPI

Andrew Charles Bishop, MD

  • Psychiatry Physician
  • Jackson, MS
National Provider Identifier
1881702710
Registry record updated Nov 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
09940 Issued in MS
Practice address
971 Lakeland Dr Ste 654
Jackson, MS 39216-4605
Phone
(601) 982-1010
Fax
(601) 366-0436
NPI assigned
Aug 29, 2006
Last updated
Nov 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 09940 MS Primary

Addresses

Primary practice location

971 Lakeland Dr Ste 654
Jackson, MS 39216-4605

Mailing address

971 Lakeland Dr Ste 654
Jackson, MS 39216-4605
Phone (601) 982-1010

Other identifiers 1

IdentifierTypeStateIssuer
00018147MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drandrewcbishop@gmail.com

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
I20090316000511 MS Practitioner - Psychiatry 5991862153 Practice locations: Jackson, MS

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Mississippi School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

971 Lakeland Dr
Suite 654
Jackson, MS 39216-4605
Phone (601) 982-1010

Merit-based Incentive Payment System (MIPS)

Final score
24.59 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09940MSMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572652800000",
    "number": "1881702710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 654",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164605",
            "telephone_number": "601-982-1010",
            "fax_number": "601-366-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR STE 654",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164605",
            "telephone_number": "601-982-1010",
            "fax_number": "601-366-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "ANDREW",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "09940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018147",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drandrewcbishop@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "971 Lakeland Dr Ste 654",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392164605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.