GREENVILLE SURGICAL CLINIC
NPI 1013038330
Surgery in Greenville, MS
About Greenville Surgical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREENVILLE SURGICAL CLINIC (NPI 1013038330) is a healthcare organization registered as a surgery in Greenville, Mississippi and active in the NPI registry since April 2007. The organization lists Philip D Doolittle, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Greenville Surgical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Greenville Surgical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Greenville Surgical Clinic's NPI number?
The NPI number for Greenville Surgical Clinic is 1013038330. It was assigned to this organization in the NPPES registry on April 3, 2007.
Where is Greenville Surgical Clinic located?
Greenville Surgical Clinic is located at 1214 Hospital St, Greenville, MS 38703. The listed phone number is (662) 335-9283.
What is Greenville Surgical Clinic's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Greenville Surgical Clinic enrolled in Medicare?
Yes. Greenville Surgical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Greenville Surgical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Greenville Surgical Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Greenville Surgical Clinic accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Greenville Surgical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Greenville Surgical Clinic was last updated on August 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Greenville Surgical Clinic · NPI 1013038330
Surgery organization in Greenville, Mississippi. Organization record, active in the CMS NPPES registry since April 3, 2007.
## Identity
- **NPI:** 1013038330 (Entity type: Organization)
- **Enumerated:** April 3, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Philip Doolittle, OWNER
## Practice location
- **Address:** 1214 HOSPITAL ST, Greenville, MS 38703-3213
- **Phone:** (662) 335-9283 · **Fax:** (662) 334-6989
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (General Surgery) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2009
- **Other identifiers:** Medicaid 07975534 (MS); Medicare ID-Type Unspecified C00448 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1013038330) · Data from the CMS NPPES public registry.