Wesley Glenn Girod, M. D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

16791 Issued in MS

Practice address

139 Fairfield Drive
Hattiesburg, MS 39402

Phone

(601) 450-2401

Fax

(601) 450-2434

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Surgery

Education

Louisiana State University School of Medicine in Shreveport, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Surgical Associates, P. a.Group PAC ID 6507820560, 4 clinicians

Wesley Physician Services LLCGroup PAC ID 2466559851, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094

Merit-based Incentive Payment System (MIPS)

Final score

88.07 of 100Reported as apm

Quality

73.89

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: southernsurgicalassociatespa.wesleygirod@150945.advancedmd-direct.com
• FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4

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.

• Southern Surgical Associates, P. a.

  • Specialist
  • Hattiesburg, MS
  • NPI 1265551162
  Medicare reassignment Care Compare group NPD
• Wesley Physician Services LLC

  • Family Medicine Physician
  • Hattiesburg, MS
  • NPI 1538200209
  Medicare reassignment Care Compare group NPD
• Wesley Health System LLC

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1841241841
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wesley Health System LLC

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1841241841
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1992893911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FAIRFIELD DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021303",
            "telephone_number": "601-450-2401",
            "fax_number": "601-450-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FAIRFIELD DRIVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-450-2401",
            "fax_number": "601-450-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIROD",
        "first_name": "WESLEY",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "16791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122601",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilton L Gillespie Jr., MD
• Larry S Gilliam, M.D.
• Stephanie Dawn Gilliland
• John Charles Gillis, DDS
• Aprile Claire Gilmore, M.D.
• Anna Victoria Gladfelter, MD
• Arthur Lamar Glaze, MD
• Jonathan Glaze, MD
• Juanice Gandy Glaze
• Glendale Healthcare, LLC

• Surgery Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.

Verify at the official NPI Registry.