BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI — NPI 1063525434 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) in COLUMBUS, MS)

CMS-1500 Box 24J / 33a • NPI

1063525434

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208G00000X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)

Box 32 Service Location & ZIP+4

255 BAPTIST BLVD, SUITE 305, COLUMBUS, MS, 39705-2011

✓ 9-Digit EDI 837 ZIP+4 (39705-2011)

Practice Phone & Referral Fax

(662) 244-2288

Fax: (662) 244-2889

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063525434 (BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063525434` (NPI-2 Organization / Facility)
Provider / Legal Name	BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) NUCC Code: `208G00000X` (Thoracic Surgery (Cardiothoracic Vascular Surgery))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	255 BAPTIST BLVD, SUITE 305, COLUMBUS, MS, 39705-2011
Practice Telephone / Fax	Tel: (662) 244-2288 \| Fax: (662) 244-2889
Administrative Mailing Address	350 N HUMPHREYS BLVD, MEMPHIS, TN, 38120-2177
Enumeration & Last Sync	Enumerated: 2006-08-17 \| CMS Record Updated: 2010-07-16
Authorized Official	DONALD POUNDS (CFO Senior Vice President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

255 BAPTIST BLVD, SUITE 305, COLUMBUS, MS, 39705-2011

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Plain-English Taxonomy & CMS Crosswalk (208G00000X)

What Does Taxonomy Code 208G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208G00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 33 (Physician/Thoracic Surgery) • CMS Code 78 (Physician/Cardiac Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Thoracic Surgery (Cardiothoracic Vascular Surgery) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RI0011X` — Internal Medicine, Interventional Cardiology Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RP1001X` — Internal Medicine, Pulmonary Disease Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RC0200X` — Internal Medicine, Critical Care Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`231H00000X` — Audiologist Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers — Audiologist	State: N/A \| License: `Verified` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RC0000X` — Internal Medicine, Cardiovascular Disease Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RH0003X` — Internal Medicine, Hematology & Oncology Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`363AS0400X` — Physician Assistant, Surgical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical	State: N/A \| License: `Verified` \| Primary: Secondary
`363LF0000X` — Nurse Practitioner, Family Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family	State: N/A \| License: `Verified` \| Primary: Secondary
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`207Y00000X` — Otolaryngology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology	State: N/A \| License: `Verified` \| Primary: Secondary
`207YX0602X` — Otolaryngology, Otolaryngic Allergy Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngic Allergy	State: N/A \| License: `Verified` \| Primary: Secondary
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Secondary
`363LA2200X` — Nurse Practitioner, Adult Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health	State: N/A \| License: `Verified` \| Primary: Secondary
`208G00000X` — Thoracic Surgery (Cardiothoracic Vascular Surgery) Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI (NPI #1063525434)