Individual provider Active NPI

James W. Lock, MD

  • Hypertension Specialist Physician
  • Walnut Grove, MS
National Provider Identifier
1063499002
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hypertension Specialist PhysicianTaxonomy code 207RH0005X
License
12628 Issued in MS
Practice address
199 Rimmer Street
Walnut Grove, MS 39189-0370
Phone
(601) 253-2733
Fax
(601) 253-2733
NPI assigned
Dec 30, 2005
Last updated
Jun 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12628 MS
Hypertension Specialist Physician 207RH0005X 12628 MS Primary

Addresses

Primary practice location

199 Rimmer Street
Walnut Grove, MS 39189-0370

Mailing address

PO Box 370
Walnut Grove, MS 39189-0370
Phone (601) 253-2733

Other identifiers 2

IdentifierTypeStateIssuer
00116489MedicaidMS
P00127232OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040715000296 MS Practitioner - Internal MedicinePractitioner - Emergency Medicine 3577542406 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Meharry Medical College School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Hospitalist Medicine of Jefferson Davis LLCGroup PAC ID 6103265145, 8 clinicians

Practice addresses (Care Compare)

1102 Rose St
Prentiss, MS 39474-5200
Phone (601) 792-4276

199 Rimmer St
Walnut Grove, MS 39189-6586
Phone (601) 253-2733

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
RH Hospitalist Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
RH Hospitalist Medicine of Jefferson Davis LLC CurrentSince May 1, 2024 Accepting new patients
Correct Care, Inc. CurrentSince Feb 27, 2024 Accepting new patients
East Central Mississippi Health Care, Inc CurrentSince Apr 5, 2004 Accepting new patients
RH Emergency Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
RH Emergency Medicine of Jefferson Davis LLC CurrentSince May 1, 2024 Accepting new patients
RH Emergency Medicine of Marion General LLC CurrentSince May 1, 2024 Accepting new patients
University Internal Medicine Assoc LLP Internal Medicine Past Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

10330 Road 375
Philadelphia, MS 39350
Phone (601) 656-0226

1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

199 Rimmer St
Walnut Grove, MS 39189
Phone (601) 253-2733

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17349/brand/1/csg/1/fhir/r4
  • Direct secure messaging: james.lock.1@17349.direct.athenahealth.com

Organizations & group practices 9

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

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1063499002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "WALNUT GROVE",
            "state": "MS",
            "postal_code": "391890370",
            "telephone_number": "601-253-2733",
            "fax_number": "601-253-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 RIMMER STREET",
            "city": "WALNUT GROVE",
            "state": "MS",
            "postal_code": "391890370",
            "telephone_number": "601-253-2733",
            "fax_number": "601-253-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCK",
        "first_name": "JAMES",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "12628",
            "primary": false
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "MS",
            "license": "12628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116489",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00127232",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Grove, MS

Sources for this page

Verify at the official NPI Registry.