Individual provider Active NPI

John C Halbrook, MD

  • Hematology & Oncology Physician
  • Meridian, MS
National Provider Identifier
1992782924
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
07013 Issued in MS
Practice address
1704 23Rd Ave
Meridian, MS 39301-3103
Phone
(601) 482-1555
Fax
(601) 696-4608
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 07013 MS
Hematology & Oncology Physician 207RH0003X 07013 MS Primary

Addresses

Primary practice location

1704 23Rd Ave
Meridian, MS 39301-3103

Mailing address

1704 23Rd Ave
Meridian, MS 39301-3103
Phone (601) 482-1555

Other identifiers 5

IdentifierTypeStateIssuer
000121501MedicaidMS
900004196OtherMSPALMETTO GBA RAILROAD
CF9149OtherMSRAILROAD GROUP #
830000087OtherMSMEDICARE LEGACY
1164433678OtherMSCLINIC NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.halbrook.p1@direct.moa.nextgenshare.com

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
I20040220000819 MS Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 5294620829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology, Internal Medicine
Education
University of Mississippi School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Oncology Associates PLLCGroup PAC ID 7012084940, 4 clinicians

Practice addresses (Care Compare)

1704 23Rd Ave
FL 2
Meridian, MS 39301-3103
Phone (601) 482-1555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Oncology Associates PLLC CurrentSince Jul 1, 2008 Accepting new patients
Meridian Hma LLC Past Accepting new patients
Meridian Hma LLC Past Accepting new patients

Locations

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

1704 23rd Ave
#2
Meridian, MS 39301
Phone (601) 482-1555

Interoperability endpoints

  • Direct secure messaging: john.halbrook.p1@direct.moa.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 3

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1992782924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013103",
            "telephone_number": "601-482-1555",
            "fax_number": "601-696-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013103",
            "telephone_number": "601-482-1555",
            "fax_number": "601-696-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBROOK",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "07013",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MS",
            "license": "07013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000121501",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "900004196",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP #",
            "identifier": "CF9149",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "830000087",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI",
            "identifier": "1164433678",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.halbrook.p1@direct.moa.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1704 23rd Ave",
            "city": "Meridian",
            "state": "MS",
            "country_code": "US",
            "postal_code": "393013103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.