Active NPI
Jason Riley
- Private Vehicle
- Tylertown, MS
National Provider Identifier
1013487198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 28A James Smith Rd
Tylertown, MS 39667-7930 - Phone
- (601) 447-6928
- NPI assigned
- Nov 30, 2018
- Last updated
- Nov 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
28A James Smith Rd
Tylertown, MS 39667-7930
Mailing address
28A James Smith Rd
Tylertown, MS 39667-7930
Phone (601) 447-6928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1013487198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28A JAMES SMITH RD",
"city": "TYLERTOWN",
"state": "MS",
"postal_code": "396677930",
"telephone_number": "601-447-6928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28A JAMES SMITH RD",
"city": "TYLERTOWN",
"state": "MS",
"postal_code": "396677930",
"telephone_number": "601-447-6928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-30",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tylertown, MS
- RH Emergency Medicine of Walthall General LLC
- RH Hospitalist Medicine of Walthall General LLC
- Christiuna A Riley, CPT
- Erin Broome Riley, MSN, APRN FNP-C
- James Riley
- Katherine Elizabeth Schubert, FNP-C
- Smiles Inc P C
- Smith Lab Testing LLC
- Southern Digestive Health Center,LLC
- Southern Remedy Family Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.