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GREGORY THOMAS STALLWORTH M.D.
NPI 1043314057
Emergency Medicine in Holly Springs, MS

Active since September 11, 2006PECOS Enrolled
1430 HWY 4-EAST, HOLLY SPRINGS, MS 38634(662) 551-3369(662) 551-3421 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gregory Thomas Stallworth M.d. NPPES

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

GREGORY THOMAS STALLWORTH M.D. (NPI 1043314057) is an individual emergency medicine provider in Holly Springs, Mississippi, licensed in Mississippi (00578) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (1978).

NPPES Registry Identity

NPI1043314057
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGREGORY THOMAS STALLWORTHCredential: M.D.
Location Address1430 HWY 4-EASTHolly Springs, MS 38634
Mailing Address1430 Hwy 4-east, P.o. Box 6000Holly Springs, MS 38634 · (662) 551-3369 · Fax (662) 551-3421
Phone(662) 551-3369
Fax(662) 551-3421
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1978
Enumeration DateSeptember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043314057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MS · 00578
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1430 HWY 4-EAST, Holly Springs, MS 38634
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Other Identifiers 3

Medicare UPINB30051MS
Medicare ID-Type Unspecified930002371MS
Medicaid00116623MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Thomas Stallworth M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204909708
PECOS Enrollment IDI20080716000640
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gregory Stallworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Healthcare System Inc
3.3 mi
Rural Health
1938 CRESCENT MEADOWS DR
Holly Springs, MS 38635
  • Reassigned Medicare billing, Mississippi enrollment
  • 23 clinicians in this Medicare group
NPI 1821143256 (662) 252-1599
Coffee County Physician Group PC
195 mi
Emergency Medicine
481 INTERSTATE DR
Manchester, TN 37355
  • Reassigned Medicare billing, Mississippi enrollment
  • 25 clinicians in this Medicare group
NPI 1437164878 (931) 728-6354

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38634 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 11

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

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier14 claims630 services$20.34 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims420 services$6.94 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
4 suppliers36 claims36 services$13.58 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
4 suppliers45 claims45 services$782.66 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers21 claims21 services$2.70 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
6 suppliers57 claims57 services$60.50 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 2

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

ALLIANCE HEALTHCARE SYSTEM, INC
General Acute Care Hospital
1430 HWY 4-EAST
HOLLY SPRINGS, MS 38634
Marshall County (662) 551-3369
ALLIANCE HEALTHCARE SYSTEM
General Acute Care Hospital
1430 HWY 4-EAST
HOLLY SPRINGS, MS 38634
Marshall County (662) 252-1212

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 Gregory Stallworth's NPI number?

The NPI number for Gregory Stallworth is 1043314057. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Gregory Stallworth located?

Gregory Stallworth practices at 1430 Hwy 4-East, Holly Springs, MS 38634. The listed phone number is (662) 551-3369.

What is Gregory Stallworth's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Gregory Stallworth enrolled in Medicare?

Yes. Gregory Stallworth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gregory Stallworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Stallworth reassigns Medicare benefits to 2 organizations: Alliance Healthcare System Inc (Holly Springs, MS) and Coffee County Physician Group PC (Manchester, TN). Each 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 Gregory Stallworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Stallworth accept?

Health plans from Molina Healthcare list Gregory Stallworth 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 Gregory Stallworth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.