NPIMap

Individual provider Active NPI

Samuel D. Newell Jr., M.D.

  • Neurology Physician
  • Tupelo, MS
National Provider Identifier
1962495192
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
10310 Issued in MS
Practice address
845 S Madison St
Tupelo, MS 38801-4905
Phone
(662) 377-3008
Fax
(662) 377-3716
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 10310 MS Primary

Addresses

Primary practice location

845 S Madison St
Tupelo, MS 38801-4905

Mailing address

845 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-3008

Other identifiers 1

IdentifierTypeStateIssuer
00013752MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000298 MS Practitioner - Neurology 6608934674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Mississippi School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

Practice addresses (Care Compare)

4381 S Eason Blvd
301 Neurology Consultants of North Miss
Tupelo, MS 38801-6584
Phone (662) 377-3008

Hospital & facility affiliations

  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Clay County Medical Corporation Hospital, West Point, MS, CCN 250067
  • North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025
  • Webster General Hospital/ Swing Bed Hospital, Eupora, MS, CCN 250020
  • Tishomingo Health Services Inc Hospital, Iuka, MS, CCN 250002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10310MSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center, Inc. CurrentSince Jul 22, 2020 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Apr 1, 2012 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Jul 22, 2020 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Clinics Inc Neurology CurrentSince Apr 1, 2012 Accepting new patients
W Thomas Oakes Jr, MD, PC Neurology Past Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients
North Mississippi Medical Center, Inc. Neurology Past Accepting new patients
North Mississippi Medical Center Past Accepting new patients
North Mississippi Medical Center Past Accepting new patients

Locations

4579 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 377-6161

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

4381 S Eason Blvd
Ste 301
Tupelo, MS 38801
Phone (662) 377-3008

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

408 Council Cir
Ste B
Tupelo, MS 38801
Phone (662) 377-3008

Interoperability endpoints

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

Organizations & group practices 11

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 5

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1962495192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014905",
            "telephone_number": "662-377-3008",
            "fax_number": "662-377-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014905",
            "telephone_number": "662-377-3008",
            "fax_number": "662-377-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "SAMUEL",
        "middle_name": "D.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "10310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00013752",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.