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BOBBY E PROCTOR M.D.
NPI 1801006960
Family Medicine in Madison, MS

Active since May 23, 2007PECOS Enrolled
286 CALHOUN STATION PARKWAY, MADISON, MS 39110(601) 200-4321 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2019, Mar 20, 2018, Aug 23, 2016 (3 updates tracked since 2016).

About Bobby E Proctor M.d. NPPES

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

BOBBY E PROCTOR M.D. (NPI 1801006960) is an individual family medicine provider in Madison, Mississippi, licensed in Mississippi (20742) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1801006960
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBOBBY E PROCTORCredential: M.D.
Location Address286 CALHOUN STATION PARKWAYMadison, MS 39110
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4749 · Fax (601) 200-5929
Phone(601) 200-4321
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateFebruary 27, 20193 updates tracked since enumeration
✔ NPI 1801006960 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 · 20742
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.
286 CALHOUN STATION PARKWAY, Madison, MS 39110
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Secondary Practice Location 1

Location 1112 Southlake CirCanton, MS 39046-5368 · Phone (601) 859-9931 · Fax (601) 859-8556

Other Identifiers 1

Medicaid09150777MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bobby E Proctor 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39110 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.

Other Providers at the Same Location NPPES

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

JOHN CHRISTOPHER FUNKHOUSER N.P.
Nurse Practitioner (Family)
286 CALHOUN STATION PARKWAY
MADISON, MS 39110
Madison County (601) 200-4321

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 Bobby Proctor's NPI number?

The NPI number for Bobby Proctor is 1801006960. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Bobby Proctor located?

Bobby Proctor practices at 286 Calhoun Station Parkway, Madison, MS 39110. The listed phone number is (601) 200-4321.

What is Bobby Proctor's specialty?

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

Is Bobby Proctor enrolled in Medicare?

Yes. Bobby Proctor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bobby Proctor was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.