Individual provider Active NPI

Michael L. Ard, M.D.

  • Family Medicine Physician
  • Louisville, MS
National Provider Identifier
1962484899
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
08939 Issued in MS
Practice address
17540 E Main Street
Louisville, MS 39339
Phone
(662) 773-3503
Fax
(662) 446-1039
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 08939 MS Primary

Addresses

Primary practice location

17540 E Main Street
Louisville, MS 39339

Mailing address

PO Box 470
Louisville, MS 39339-0470
Phone (662) 773-3503

Other practice location 1

923 S Church Ave
Louisville, MS 39339-3444
Phone (662) 773-3503

Other identifiers 2

IdentifierTypeStateIssuer
00019265MedicaidMS
080161500OtherRAILROAD MEDICARE

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
I20080122000693 MS Practitioner - Family Practice 2365523875 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winston County Medical FoundationGroup PAC ID 7315943255, 29 clinicians
Winston Medical Clinic LLCGroup PAC ID 7214170968, shared by 3 NPIs, 11 clinicians

Practice addresses (Care Compare)

17550 E Main St
Louisville, MS 39339-2772
Phone (662) 773-6211

PO Box
Suite 470
Louisville, MS 39339

Hospital & facility affiliations

  • Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
  • Mississippi Homecare of Eupora Home health agency, Eupora, MS, CCN 257122
  • Centerwell Home Health Home health agency, Columbus, MS, CCN 257110
  • Gentiva Hospice, Starkville, MS, CCN 251597
  • Winston Medical Center Hospital, Louisville, MS, CCN 250027
  • Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
  • Choctaw Regional Medical Center Hospital, Ackerman, MS, CCN 251334
  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100
  • Winston County Nursing Home Nursing home, Louisville, MS, CCN 255072
  • Louisville Healthcare LLC Nursing home, Louisville, MS, CCN 255096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08939MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ard Medical Clinic PLLC CurrentSince Jan 1, 2008 Accepting new patients
Winston County Medical Foundation CurrentSince Jan 1, 2008 Accepting new patients
Winston Medical Clinic LLC CurrentSince Jul 1, 2013 Accepting new patients
Winston Medical Clinic LLC CurrentSince Jul 1, 2013 Accepting new patients
Calhoun Health Services Past Accepting new patients
Winston County Medical Foundation Past Accepting new patients
Emergency Room MD LLC Past Accepting new patients
Emergency Room MD LLC Past Accepting new patients

Locations

923 S Church Ave
Louisville, MS 39339
Phone (662) 773-3503

17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072

90 E Main St
Noxapater, MS 39346
Phone (662) 446-1972

Interoperability endpoints

  • Direct secure messaging: michael.ard.1@15070.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962484899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393390470",
            "telephone_number": "662-773-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17540 E MAIN STREET",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "39339",
            "telephone_number": "662-773-3503",
            "fax_number": "662-446-1039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 S Church Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "MS",
            "postal_code": "393393444",
            "country_code": "US",
            "telephone_number": "662-773-3503",
            "fax_number": "662-773-6457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARD",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "08939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00019265",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080161500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

Verify at the official NPI Registry.