James D Polk, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

06229 Issued in MS

Practice address

1201 Highway 49 S Ste 4
Richland, MS 39218-9425

Phone

(601) 932-6400

Fax

(601) 932-6437

NPI assigned

Oct 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (4 of 5)

Locations

Networks

• LA PPO C-SNP

Interoperability endpoints

• Direct secure messaging: james.polk@125258628.chartlogic.direct-ci.com

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.

• Garrett Healthcare LLC

  • Family Medicine Physician
  • Brandon, MS
  • NPI 1730736513

  Family Medicine, MS

  Medicare reassignment Care Compare group NPD
• Martin Health Care, LLC

  • Family Medicine Physician
  • Florence, MS
  • NPI 1669652558

  Family Medicine, MS

  Medicare reassignment NPD
• Mendenhall Medical Clinic LLC

  • Primary Care Clinic/Center
  • Mendenhall, MS
  • NPI 1013729441

  MS

  Medicare reassignment NPD
• Greenfield Family Healthcare Inc

  • Family Nurse Practitioner
  • Brandon, MS
  • NPI 1386916146
  NPD (past)

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

• Mississippi Homecare of Jackson II, LLC

  • Home Health Agency
  • Jackson, MS
  • NPI 1730373275
  Care Compare affiliation
• Sta-Home Hospice of Mississippi, Inc.

  • Community Based Hospice Care Agency
  • Flowood, MS
  • NPI 1144491077

  Hospice

  Care Compare affiliation

Specialty

Family Practice

Education

University of Mississippi School of Medicine, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garrett Healthcare LLC 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
• Accentcare Hospice & Palliative Care of Ms Hospice, Flowood, MS, CCN 251511

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1083601348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180367",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392180367",
            "telephone_number": "601-932-6400",
            "fax_number": "601-932-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 49 S STE 4",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189425",
            "telephone_number": "601-932-6400",
            "fax_number": "601-932-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "06229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Healthcare, LLC
• Phoenix Specialtycare, LLC
• Physical Rehabilitation Management
• Jaycee Sue Pilcher
• Polk Dental Center
• Jason L Polk, D. M. D
• Lexi A. Polk, D.M.D
• Teresa Polk, CFNP
• Polk'S Crossgate Discount Drugs Inc.
• James Anthony Presley, DMD,FAGD

• All providers in Richland, MS
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.