JOHNNY BULLOCK MD
NPI 1043268709
Family Medicine in Foxworth, MS

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
62 HIGHWAY 587, FOXWORTH, MS 39483(601) 424-3540(601) 424-3544 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnny Bullock Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNY BULLOCK MD (NPI 1043268709) is an individual family medicine provider in Foxworth, Mississippi, licensed in Mississippi (13883) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of University Of Mississippi School Of Medicine (1993).

NPPES Registry Identity

NPI1043268709
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHNNY BULLOCKCredential: MD
Location Address62 HIGHWAY 587Foxworth, MS 39483-5026
Mailing AddressPo Box 669Foxworth, MS 39483-0669 · (601) 424-3540 · Fax (601) 424-3544
Fax(601) 424-3544
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1993
Enumeration DateMay 5, 2006
Last NPPES UpdateNovember 1, 2012
NPI 1043268709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 13883
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
62 HIGHWAY 587, Foxworth, MS 39483

Other Identifiers 3

Medicare UPING24950MS
Medicaid00737837MS
Medicare PIN302I068514MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Johnny Bullock Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971562976
PECOS Enrollment IDI20041006000254
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Columbia, MS
OwnershipGovernment - Local
CMS Certification Number250085
Location1560 Sumrall RdColumbia, MS 39429 · Marion County
Emergency services

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250097
Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County
Emergency services Birthing friendly

Walthall County General Hospital Cah

Critical Access Hospitals · Tylertown, MS
OwnershipGovernment - Local
CMS Certification Number251324
Location100 Hospital DriveTylertown, MS 39667 · Walthall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39483 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims52 services$6.50 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers18 claims35 services$61.35 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier15 claims90 services$37.30 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims16 services$18.12 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers29 claims29 services$8.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims21 services$112.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
62 HIGHWAY 587
FOXWORTH, MS 39483
Pharmacy (Community/Retail Pharmacy)
62 HIGHWAY 587
FOXWORTH, MS 39483
Clinic/Center (Primary Care)
62 HIGHWAY 587
FOXWORTH, MS 39483
Nurse Practitioner
62 HIGHWAY 587
FOXWORTH, MS 39483

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 Johnny Bullock's NPI number?

The NPI number for Johnny Bullock is 1043268709. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Johnny Bullock located?

Johnny Bullock practices at 62 Highway 587, Foxworth, MS 39483. The listed phone number is (601) 424-3540.

What is Johnny Bullock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Johnny Bullock enrolled in Medicare?

Yes. Johnny Bullock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Johnny Bullock accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Johnny Bullock 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.

Is Johnny Bullock affiliated with any hospitals?

According to CMS data, Johnny Bullock is affiliated with Forrest General Hospital, Marion General Hospital, Southwest Ms Regional Medical Center and Walthall County General Hospital Cah.

When was this NPI record last updated?

The NPPES record for Johnny Bullock was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.