Individual provider Active NPI

Matthew T Tipton, DO

  • Internal Medicine Physician
  • Corinth, MS
National Provider Identifier
1992060669
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T2611 Issued in MS
Practice address
611 Alcorn Dr
Corinth, MS 38834-9321
Phone
(423) 914-9162
NPI assigned
Jul 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T2611 MS Primary

Addresses

Primary practice location

611 Alcorn Dr
Corinth, MS 38834-9321

Mailing address

611 Alcorn Dr
Corinth, MS 38834-9321
Phone (423) 914-9162

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
I20140710000607 MS Practitioner - Internal MedicinePractitioner - Emergency Medicine 1456576289 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2611MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee County Physician Group PC CurrentSince Feb 21, 2019 Accepting new patients
United Emergency Services, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Copiah County Medical Center CurrentSince Aug 1, 2022 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
South Sunflower County Hospital Current Accepting new patients
South Sunflower County Hospital CurrentSince Feb 14, 2023 Accepting new patients
Correct Care, Inc. CurrentSince Jun 30, 2014 Accepting new patients
Copiah County Medical Center CurrentSince Aug 1, 2022 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Acs Emergency Services of Mississippi Professional Association CurrentSince Jul 1, 2024 Accepting new patients
South Sunflower County Hospital CurrentSince Feb 14, 2023 Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients
Linda a Foster MD PC PastSince Aug 2, 2021 Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

901 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 846-0061

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1992060669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "423-914-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "423-914-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T2611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.