GEORGE GILLESPIE III D.O.
NPI 1124117171
Family Medicine in Petal, MS
About George Gillespie Iii D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGE GILLESPIE III D.O. (NPI 1124117171) is an individual family medicine provider in Petal, Mississippi, licensed in Mississippi (19284) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with South Central Reg Med Ctr, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
George Gillespie Iii D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show George Gillespie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sumrall, MS 39482
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1003654567 (Mississippi)
- 69 clinicians in this Medicare group
Taylorsville, MS 39168
- Reassigned Medicare billing, Mississippi enrollment
- 87 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Central Reg Med Ctr
Acute Care Hospitals · Laurel, MSMagee General Hospital
Acute Care Hospitals · Magee, MSCovington County Hospital Cah
Critical Access Hospitals · Collins, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39465 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 George Gillespie's NPI number?
The NPI number for George Gillespie is 1124117171. It was assigned to this individual provider in the NPPES registry on October 11, 2006.
Where is George Gillespie located?
George Gillespie practices at 50 Parkway Ln, Petal, MS 39465. The listed phone number is (601) 544-7404.
What is George Gillespie's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is George Gillespie enrolled in Medicare?
Yes. George Gillespie 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.
Which organizations bill Medicare for George Gillespie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), George Gillespie reassigns Medicare benefits to 2 organizations: Covington County Hospital (Sumrall, MS) and Magee Benevolent Association (Taylorsville, MS). 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 George Gillespie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does George Gillespie accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list George Gillespie 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 George Gillespie affiliated with any hospitals?
According to CMS data, George Gillespie is affiliated with South Central Reg Med Ctr, Magee General Hospital and Covington County Hospital Cah.
When was this NPI record last updated?
The NPPES record for George Gillespie was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# George Gillespie III, D.O. · NPI 1124117171
Family Medicine physician in Petal, Mississippi. Individual provider, active in the CMS NPPES registry since October 11, 2006.
## Identity
- **NPI:** 1124117171 (Entity type: Individual)
- **Enumerated:** October 11, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 19284 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 PARKWAY LN, Petal, MS 39465-3035
- **Phone:** (601) 544-7404 · **Fax:** (601) 584-6457
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Covington County Hospital (NPI 1659995538, Sumrall, MS); Magee Benevolent Association (NPI 1871888271, Taylorsville, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Medicaid 05020034 (MS); Other 0029455 (MS); Other 9864055 (MS); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1124117171) · Data from the CMS NPPES public registry.