GINGER L POLE D.O.
NPI 1235102906
Pediatrics - Neonatal-Perinatal Medicine in Tupelo, MS

Active since February 10, 2006PECOS Enrolled
4566 S EASON BLVD, TUPELO, MS 38801(662) 377-4905(662) 377-4906 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ginger L Pole D.o. NPPES

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

GINGER L POLE D.O. (NPI 1235102906) is an individual neonatal-perinatal medicine provider in Tupelo, Mississippi, licensed in Mississippi (22214) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235102906
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameGINGER L POLECredential: D.O.
Location Address4566 S EASON BLVDTupelo, MS 38801-6540
Mailing AddressPo Box 3970Tupelo, MS 38803-3970 · (662) 377-4905 · Fax (662) 377-4906
Fax(662) 377-4906
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1235102906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in MS · 22214✔ Licensed in TX · P2154✔ Licensed in IN · 02002641A
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
4566 S EASON BLVD, Tupelo, MS 38801

Other Identifiers 1

Medicaid04738364MS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ginger L Pole D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Ginger Pole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
4566 S EASON BLVD
Tupelo, MS 38801
  • Reassigned Medicare billing, Mississippi enrollment
  • 581 clinicians in this Medicare group
Family Medicine
965 AVENT DR, SUITE 100A
Grenada, MS 38901
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 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.

Other Providers at the Same Location NPPES 14

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

Pediatrics (Neonatal-Perinatal Medicine)
4566 S EASON BLVD
TUPELO, MS 38801
Pediatrics (Neonatal-Perinatal Medicine)
4566 S EASON BLVD
TUPELO, MS 38801
Registered Nurse
4566 S EASON BLVD
TUPELO, MS 38801
Obstetrics & Gynecology
4566 S EASON BLVD
TUPELO, MS 38801
Registered Nurse
4566 S EASON BLVD
TUPELO, MS 38801
Nurse Practitioner (Neonatal)
4566 S EASON BLVD
TUPELO, MS 38801
Pediatrics (Neonatal-Perinatal Medicine)
4566 S EASON BLVD
TUPELO, MS 38801
Nurse Practitioner (Family)
4566 S EASON BLVD
TUPELO, MS 38801

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 Ginger Pole's NPI number?

The NPI number for Ginger Pole is 1235102906. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Ginger Pole located?

Ginger Pole practices at 4566 S Eason Blvd, Tupelo, MS 38801. The listed phone number is (662) 377-4905.

What is Ginger Pole's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Ginger Pole enrolled in Medicare?

Yes. Ginger Pole is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ginger Pole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ginger Pole reassigns Medicare benefits to 2 organizations: North Mississippi Medical Center (Tupelo, MS) and State Of Mississippi-University Of Mississippi Medical Center (Grenada, 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 Ginger Pole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ginger Pole accept?

Health plans from Cigna Healthcare and Molina Healthcare list Ginger Pole 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 Ginger Pole was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.