Active NPI
John C Halbrook, MD
- Hematology & Oncology Physician
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 07013
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000121501 | Medicaid | MS | |
| 900004196 | Other | MS | PALMETTO GBA RAILROAD |
| CF9149 | Other | MS | RAILROAD GROUP # |
| 830000087 | Other | MS | MEDICARE LEGACY |
| 1164433678 | Other | MS | CLINIC NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of Mississippi School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Oncology Associates PLLC | Current | 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
- john.halbrook.p1@direct.moa.nextgenshare.com
- 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.
-
- Non-Pharmacy Dispensing Site
- Meridian, MS
- NPI 1164433678
-
dba Riley Physician Services
- Cardiovascular Disease Physician
- Meridian, MS
- NPI 1578620746
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Anderson Regional Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1649226952
-
dba Ochsner Rush Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1770543399
-
dba AccentCare Home Health of Carthage
- Home Health Agency
- Carthage, MS
- NPI 1275674533
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.