Individual provider Active NPI

Joby Davis Collins, D.M.D.

  • General Practice Dentistry
  • Smithville, MS
National Provider Identifier
1073727772
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2715-93 Issued in MS
Practice address
60024 Olive St
Smithville, MS 38870-9719
Phone
(662) 651-7111
Fax
(662) 651-7115
NPI assigned
May 10, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2715-93 MS Primary

Addresses

Primary practice location

60024 Olive St
Smithville, MS 38870-9719

Mailing address

PO Box 205
Smithville, MS 38870-0205
Phone (662) 651-7111

Other practice location 1

60021 Monroe St
Smithville, MS 38870-7779
Phone (662) 257-7146

Other practice location 2

3999 N Gloster St Ste D
Tupelo, MS 38804-0950
Phone (662) 778-2002

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170407000654 MS Order and Referring Only - DentistPractitioner - Dentist 7214213123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2715-93MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Access Family Health Services, Inc. PastSince Jul 31, 2022 Accepting new patients
Park Dental Group - Tupelo PLLC General Practice PastSince Oct 31, 2021 Accepting new patients
Access Family Health Services, Inc. PastSince Jul 31, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073727772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388700205",
            "telephone_number": "662-651-7111",
            "fax_number": "662-651-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60024 OLIVE ST",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388709719",
            "telephone_number": "662-651-7111",
            "fax_number": "662-651-7115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60021 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Smithville",
            "state": "MS",
            "postal_code": "388707779",
            "country_code": "US",
            "telephone_number": "662-257-7146",
            "fax_number": "662-651-7115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3999 N Gloster St Ste D",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388040950",
            "country_code": "US",
            "telephone_number": "662-778-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JOBY",
        "middle_name": "DAVIS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2715-93",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, MS

Sources for this page

Verify at the official NPI Registry.