Individual provider Active NPI

Christopher Ryan Billsby, D.O.

  • Emergency Medicine Physician
  • Jackson, MS
National Provider Identifier
1952832370
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
26520 Issued in MS
Practice address
1850 Chadwick Dr
Jackson, MS 39204-3404
Phone
(601) 376-1000
NPI assigned
Mar 27, 2017
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 26520 MS Primary

Addresses

Primary practice location

1850 Chadwick Dr
Jackson, MS 39204-3404

Mailing address

216 Rockbridge Dr
Madison, MS 39110-1000
Phone (601) 910-9944

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5582

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
I20200603002605 MS Practitioner - Emergency Medicine 8820368731 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
William Carey University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Emergency Medicine Specialists of Amory, LLCGroup PAC ID 4486088853, 27 clinicians
Relias Emergency Medicine Specialists of Tupelo LLCGroup PAC ID 6608179734, 39 clinicians

Practice addresses (Care Compare)

1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 256-7111

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26520MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Emergency Medicine Specialists of Amory, LLC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Jun 5, 2020 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Jan 1, 2026 Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Interoperability endpoints

  • Direct secure messaging: christopherbillsby@nmhs.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1952832370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ROCKBRIDGE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391101000",
            "telephone_number": "601-910-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043404",
            "telephone_number": "601-376-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILLSBY",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "26520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.