Active NPI
Joby Davis Collins, D.M.D.
- General Practice Dentistry
- Smithville, MS
National Provider Identifier
1073727772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2715-93
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170407000654 | MS | Order and Referring Only - Dentist | 7214213123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2715-93 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Family Health Services, Inc. | Past | Accepting new patients | |
| Park Dental Group - Tupelo PLLC | General Practice | Past | Accepting new patients |
| Access Family Health Services, Inc. | Past | 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.
-
- Community/Retail Pharmacy
- Tremont, MS
- NPI 1124618525
-
dba ACCESS Family Dental Clinic
- Community Health Clinic/Center
- Smithville, MS
- NPI 1932219524
-
- General Practice Dentistry
- Tupelo, MS
- NPI 1528722709
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.