Justin Blake Daniels, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

T-2302 Issued in MS

Practice address

103 Brighton LN
Apt/Suite
Ridgeland, MS 39157-8775

Phone

(601) 421-9943

NPI assigned

Jul 1, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

University of Mississippi School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ies Alabama PLLCGroup PAC ID 5395105183, 23 clinicians

Jackson HB Medical Services LLCGroup PAC ID 6103273131, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baldwin Health Hospital, Foley, AL, CCN 010083
• Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
• Merit Health River Region Hospital, Vicksburg, MS, CCN 250031
• Andalusia Health Hospital, Andalusia, AL, CCN 010036
• Merit Health Central Hospital, Jackson, MS, CCN 250072

Merit-based Incentive Payment System (MIPS)

Final score

42.86 of 100Reported as group

Quality

0

Improvement activities

40

Cost

74.29

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jackson HB Medical Services LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1184305856
  Medicare reassignment Care Compare group NPD
• Ies Alabama PLLC

  • Emergency Medicine Physician
  • Foley, AL
  • NPI 1053027276
  Medicare reassignment Care Compare group NPD
• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jackson Hma LLC

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1033163092
  Care Compare affiliation
• River Oaks Hospital LLC

  • General Acute Care Hospital
  • Flowood, MS
  • NPI 1396792032
  Care Compare affiliation
• Vicksburg Healthcare LLC

  • General Acute Care Hospital
  • Vicksburg, MS
  • NPI 1215981303
  Care Compare affiliation
• Community Hospital of Andalusia LLC

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494
  Care Compare affiliation
• Foley Hospital Company LLC

  • General Acute Care Hospital
  • Foley, AL
  • NPI 1053382655
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371945600000",
    "number": "1013228329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BRIGHTON LN",
            "address_2": "APT/SUITE",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578775",
            "telephone_number": "601-421-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BRIGHTON LN",
            "address_2": "APT/SUITE",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578775",
            "telephone_number": "601-421-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JUSTIN",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2013-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "T-2302",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "21838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline McIntire Daggett, MD
• Deborah Kristen Dale, SLP
• Joe Charles Dalmut Jr., PTA
• Arthur Reginald Dampier Jr., O.D.
• Daniel & Max, LLC
• Keizia Davidson, ATC, LAC
• Arthur Davis
• Corey Lamonn Davis, PTA
• Emily Davis, OT
• Kailyn Davis

• Emergency Medicine Physician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.