Active NPI
Rollie Demetrius Steele, M.D.
- Family Medicine Physician
- Lucedale, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17841
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00067278 | Other | MS | PALMETTO MEDICARE RAILROA |
| 00126547 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 SaralandGreater Mobile Urgent CareGmuc of Springhill LLC
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17841 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Mobile Urgent Care | Family Medicine | Current | Accepting new patients |
| Gmuc of Springhill LLC | Family Medicine | Current | Accepting new patients |
| Greater Mobile Urgent Care | Family Medicine | Current | Accepting new patients |
| Gmuc of Citronelle LLC | Family Medicine | Current | Accepting new patients |
| Gmuc of Saraland | Family Medicine | Current | 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.
-
- Community Based Hospice Care Agency
- Biloxi, MS
- NPI 1477935013
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.