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DR. STEPHEN MARC WASCOMB M.D.
NPI 1366691644
General Practice in Columbia, MS

Active since September 11, 2008PECOS Enrolled
554 SINGLEY RD, COLUMBIA, MS 39429(601) 600-0036 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2021, Aug 26, 2016 (2 updates tracked since 2016).

About Dr. Stephen Marc Wascomb M.d. NPPES

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

DR. STEPHEN MARC WASCOMB M.D. (NPI 1366691644) is an individual general practice provider in Columbia, Mississippi, licensed in Mississippi (11146) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366691644
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. STEPHEN MARC WASCOMBCredential: M.D.
Location Address554 SINGLEY RDColumbia, MS 39429-9156
Mailing Address554 Singley RdColumbia, MS 39429-9156
Phone(601) 600-0036
Sole ProprietorYes
Enumeration DateSeptember 11, 2008
Last NPPES UpdateApril 20, 20212 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
✔ NPI 1366691644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in MS · 11146✔ Licensed in LA · MD.07163R
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD.07163R (LA), 11146 (MS)
554 SINGLEY RD, Columbia, MS 39429
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Marc Wascomb M.d. 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.

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 Stephen Wascomb's NPI number?

The NPI number for Stephen Wascomb is 1366691644. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Where is Stephen Wascomb located?

Stephen Wascomb practices at 554 Singley Rd, Columbia, MS 39429. The listed phone number is (601) 600-0036.

What is Stephen Wascomb's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Stephen Wascomb enrolled in Medicare?

Yes. Stephen Wascomb is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Wascomb was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.