Gregory Thomas Stallworth, MD is a medicare enrolled "Emergency Medicine" physician in Holly Springs, Mississippi. His current practice location is
1430 Hwy 4-east, Holly Springs, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 551-3369.
Gregory Thomas Stallworth is licensed to practice in Mississippi (license number 00578) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1043314057.
Physician's Profile
Full Name | Gregory Thomas Stallworth |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1430 Hwy 4-east, Holly Springs, Mississippi |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Gregory Thomas Stallworth attended and graduated from in
NPI Data:
- NPI Number: 1043314057
- Provider Enumeration Date: 09/11/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Gregory Thomas Stallworth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043314057 | NPI | - | NPPES |
00116623 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 00578 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gregory Thomas Stallworth is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gregory Thomas Stallworth, MD 1430 Hwy 4-east, P.o. Box 6000, Holly Springs, MS 38634 Ph: (662) 551-3369 | Gregory Thomas Stallworth, MD 1430 Hwy 4-east, Holly Springs, MS 38634 Ph: (662) 551-3369 |
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