Individual provider Active NPI

Rollie Demetrius Steele, M.D.

  • Family Medicine Physician
  • Lucedale, MS
National Provider Identifier
1972616779
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17841 Issued in MS
Practice address
92 W. Ratliff Street
Lucedale, MS 39452-6537
Phone
(601) 947-8181
Fax
(601) 947-4411
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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 17841 MS Primary

Addresses

Primary practice location

92 W. Ratliff Street
Lucedale, MS 39452-6537

Mailing address

PO Box 1007
Lucedale, MS 39452-1007
Phone (601) 947-8181

Other identifiers 2

IdentifierTypeStateIssuer
P00067278OtherMSPALMETTO MEDICARE RAILROA
00126547MedicaidMS

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
I20090422000335 MS Practitioner - Family Practice 3971531955 Reassigns benefits to 1 organization
I20170206000811 AL Practitioner - Family Practice 3971531955 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gmuc of SaralandGroup PAC ID 8820211436, 39 clinicians
Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians
Gmuc of Springhill LLCGroup PAC ID 6901091156, 34 clinicians

Practice addresses (Care Compare)

1114 Shelton Beach Rd
Saraland, AL 36571-3016
Phone (251) 633-0123

2350 Schillinger Rd S
Suite a
Mobile, AL 36695-4177
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608-1912
Phone (251) 633-0123

Hospital & facility affiliations

  • Deaconess Hospice Hospice, Biloxi, MS, CCN 251696

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17841MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Mobile Urgent Care Family Medicine CurrentSince Nov 10, 2018 Accepting new patients
Gmuc of Springhill LLC Family Medicine CurrentSince Nov 10, 2018 Accepting new patients
Greater Mobile Urgent Care Family Medicine CurrentSince Nov 10, 2018 Accepting new patients
Gmuc of Citronelle LLC Family Medicine CurrentSince Nov 10, 2018 Accepting new patients
Gmuc of Saraland Family Medicine CurrentSince Nov 10, 2018 Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

2350 Schillinger Rd S
Mobile, AL 36695
Phone (251) 445-7614

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Organizations & group practices 6

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 1

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1972616779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394521007",
            "telephone_number": "601-947-8181",
            "fax_number": "601-947-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W. RATLIFF STREET",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526537",
            "telephone_number": "601-947-8181",
            "fax_number": "601-947-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "ROLLIE",
        "middle_name": "DEMETRIUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "17841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE RAILROA",
            "identifier": "P00067278",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126547",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucedale, MS

Sources for this page

Verify at the official NPI Registry.