James Michael Pegg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

938 Issued in MS

Practice address

600 Old Hickory Rd
Grenada, MS 38901-2727

Phone

(662) 229-6038

Fax

(662) 226-7027

NPI assigned

Jul 12, 2016

Last updated

Jul 12, 2016By the provider in NPPES

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

20-20 Eyecare of Grenada PAGroup PAC ID 4981861366, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.pegg@direct.revolutionehr.com

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.

• 20-20 Eyecare of Winona LLC

  • Optometrist
  • Winona, MS
  • NPI 1770275661
  Medicare reassignment NPD Authorized official
• 20-20 Eyecare of Grenada PA

  • Optometrist
  • Grenada, MS
  • NPI 1497025183
  Medicare reassignment Care Compare group
• 20 20 Eye Care Inc

  • Eyewear Supplier
  • Grenada, MS
  • NPI 1528242047
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1093167157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SHADOW WOOD CV",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389019220",
            "telephone_number": "662-229-6038",
            "fax_number": "662-226-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OLD HICKORY RD",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389012727",
            "telephone_number": "662-229-6038",
            "fax_number": "662-226-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGG",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Nobile
• North Mississippi Foot Specialists PC
• Ronald J Okabe, PT
• James Walter Parrett Jr., PHARM.D.
• Elizabeth Annette Patton, PHARM D
• Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P
• James R Philley, DMD
• Physicians and Surgeons (Grenada Doctors Clinic)
• Karen W Plunkett, M.D.
• Felicia Faye Poe, D.C.

• Optometrist in Grenada, MS
• Providers in Grenada, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.