Active NPI
James M Riser MD PA
- Family Medicine Physician
- Picayune, MS
National Provider Identifier
1013041011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 09589
- Legal business name
- JAMES M RISER MD PA
- Practice address
- 2274 Highway 43 S
Picayune, MS 39466-8141 - Phone
- (601) 798-5798
- Fax
- (601) 798-5914
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Matthew Riser, MD
- Title
- Owner
- Phone
- (601) 798-5798
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 09589 | MS | Primary |
Addresses
Primary practice location
2274 Highway 43 S
Picayune, MS 39466-8141
Mailing address
PO Box 1038
Picayune, MS 39466-1038
Phone (601) 798-5798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9016108 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Picayune, MS
- NPI 1639212541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208476800000",
"number": "1013041011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1038",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394661038",
"telephone_number": "601-798-5798",
"fax_number": "601-798-5914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2274 HIGHWAY 43 S",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394668141",
"telephone_number": "601-798-5798",
"fax_number": "601-798-5914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES M RISER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2008-04-18",
"status": "A",
"authorized_official_last_name": "RISER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-798-5798",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MS",
"license": "09589",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9016108",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.