Active NPI
Jimmy V Wolfe, M.D.
- Neurology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 20666
- Practice address
- 1200 N State St Ste 420
Jackson, MS 39202-2027 - Phone
- (601) 355-3353
- Fax
- (601) 355-3365
- NPI assigned
- Dec 20, 2005
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 20666 | MS | Primary |
Addresses
Primary practice location
1200 N State St Ste 420
Jackson, MS 39202-2027
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- JC Edwards School of Medicine, Marshall University, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1151 N State St
Suite 404
Jackson, MS 39202-2457
Phone (601) 292-4261
1200 N State St
Jackson, MS 39202-2027
1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261
401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504
Hospital & facility affiliations
- Mississippi Baptist Medical Center
- Mississippi Methodist Rehab Ctr
- University of Mississippi Med Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.38 of 100
- Quality
- 54.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20666 | MS | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Neurology | Current | Accepting new patients |
| Mississippi Baptist Medical Center, Inc. | Neurology | Current | Accepting new patients |
| Anderson Physician Alliance, Inc. | Past | Accepting new patients |
Locations
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1200 N State St
Ste 420
Jackson, MS 39202
Phone (601) 355-3353
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Neurology
-
- Neurology Physician
- Jackson, MS
- NPI 1467589556
-
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1962523845
-
- Community/Retail Pharmacy
- Jackson, MS
- NPI 1255882890
-
- Multi-Specialty Clinic/Center
- Meridian, MS
- NPI 1760798227
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- Durable Medical Equipment & Medical Supplies
- Tupelo, MS
- NPI 1205604071
Hospital
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1841349792
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1093791220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 103",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209446",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST STE 420",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022027",
"telephone_number": "601-355-3353",
"fax_number": "601-355-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "JIMMY",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MS",
"license": "20666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.