Active NPI
Gregory R Myrick, M.D.
- Family Medicine Physician
- Millry, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD30396
- Practice address
- 73 Long Street
Millry, AL 36558 - Phone
- (251) 846-3233
- Fax
- (251) 846-3224
- NPI assigned
- Dec 12, 2007
- Last updated
- Dec 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 23499 | MS | |
| Family Medicine Physician | 207Q00000X | MD30396 | AL | Primary |
Addresses
Primary practice location
73 Long Street
Millry, AL 36558
Mailing address
PO Box 465
Millry, AL 36558-0465
Phone (251) 846-3233
Other practice location 1
15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181032 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
859 Winter St
Lucedale, MS 39452-6603
Phone (601) 947-1330
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD30396 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George County Hospital | Current | Accepting new patients | |
| RH Emergency Medicine of Highland Community LLC | Emergency Medicine | Current | Accepting new patients |
| George Regional ER Physicians | Current | Accepting new patients | |
| Ies Alabama PLLC | Emergency Medicine | Current | Accepting new patients |
| RH Hospitalist Medicine of Walthall General LLC | Current | Accepting new patients | |
| George County Hospital- Erp | Current | Accepting new patients | |
| George County Hospital | Current | Accepting new patients | |
| RH Hospitalist Medicine of Jefferson Davis LLC | Current | Accepting new patients | |
| Healing Headquarters Inc | Family Medicine | Current | Accepting new patients |
| Keystone Medical Services of Ms, Inc | Emergency Medicine | Current | Accepting new patients |
| American Family Care, LLC | Family Medicine | Current | Accepting new patients |
| Greater Mobile Urgent Care | Family Medicine | Current | Accepting new patients |
| Compass Urgent Care LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Washington County Healthcare Authority, Inc | Current | Accepting new patients | |
| RH Emergency Medicine of Walthall General LLC | Emergency Medicine | Current | Accepting new patients |
| RH Emergency Medicine of Jefferson Davis LLC | Emergency Medicine | Current | Accepting new patients |
| University of South Alabama | Emergency Medicine | Current | Accepting new patients |
| Elite Urgent Care LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Greene County Family Medical Clinic | Current | Accepting new patients | |
| App of Mississippi Ed, LLC | Emergency Medicine | Current | Accepting new patients |
| Compass Providence Urgent Care LLLP | Current | Accepting new patients | |
| Keystone Medical Services of Alabama, Inc. | Emergency Medicine | Current | Accepting new patients |
| Greater Mobile Urgent Care | Family Medicine | Current | Accepting new patients |
| South Alabama Medical Clinic, LLC | Family Medicine | Current | Accepting new patients |
| RH Emergency Medicine of Marion General LLC | Emergency Medicine | Current | Accepting new patients |
| Singing River Gulfport | Current | Accepting new patients | |
| Mobile Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Elite Urgent Care LLC | Current | Accepting new patients | |
| Gmuc of Springhill LLC | Family Medicine | Current | Accepting new patients |
| University of South Alabama | Family Medicine | Current | Accepting new patients |
| USA Health Community Providers LLC | Family Medicine | Past | Accepting new patients |
| Lucedale Family Medical Clinic | Family Medicine | Past | Accepting new patients |
Locations
1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400
10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541
Phone (251) 865-1852
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
73 Long St
Millry, AL 36558
Phone (251) 846-3233
75 5th Ave
Millry, AL 36558
Phone (251) 846-3233
2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123
4682 Airport Blvd
Mobile, AL 36608
Phone (251) 342-4900
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
6901 Airport Blvd
Mobile, AL 36608
Phone (251) 633-2273
9985 Airport Blvd
Mobile, AL 36608
Phone (251) 633-2273
7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618
1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000
150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
1017 Jackson Ave
Leakesville, MS 39451
Phone (601) 394-2820
859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286
130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400
1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947
100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455
6075 Poplar Ave
Ste 401
Memphis, TN 38119
Phone (901) 795-3600
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 35
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Lucedale, MS
- NPI 1043690936
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
- Urgent Care Clinic/Center
- Mobile, AL
- NPI 1770997579
-
- Urgent Care Clinic/Center
- Mobile, AL
- NPI 1295028082
-
- Urgent Care Clinic/Center
- Mobile, AL
- NPI 1922672245
-
- Family Medicine Physician
- Mobile, AL
- NPI 1952617508
-
- Family Medicine Physician
- Mobile, AL
- NPI 1801063938
-
- Family Medicine Physician
- Mobile, AL
- NPI 1174411193
-
- Emergency Medicine Physician
- Foley, AL
- NPI 1053027276
-
- Emergency Medicine Physician
- Troy, AL
- NPI 1790432243
-
- Emergency Medicine Physician
- Mobile, AL
- NPI 1881934982
-
- Rural Health Clinic/Center
- Grand Bay, AL
- NPI 1811288038
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba USA Health Providence Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
-
- Rural Acute Care Hospital
- Lucedale, MS
- NPI 1023074028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1972786960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 465",
"city": "MILLRY",
"state": "AL",
"postal_code": "365580465",
"telephone_number": "251-846-3233",
"fax_number": "251-846-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 LONG STREET",
"city": "MILLRY",
"state": "AL",
"postal_code": "36558",
"telephone_number": "251-846-3233",
"fax_number": "251-846-3224"
}
],
"practiceLocations": [
{
"address_1": "15200 Community Rd",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "395033085",
"country_code": "US",
"telephone_number": "228-575-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYRICK",
"first_name": "GREGORY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-12",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "23499",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "MD30396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181032",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millry, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.