Individual provider Active NPI

Jess Logan Rush, M.D.

  • Dermatology Physician
  • Meridian, MS
National Provider Identifier
1104288752
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
28218 Issued in MS
Practice address
4331 Highway 39 N Ste a
Meridian, MS 39301-1007
Phone
(601) 693-1044
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 28218 MS
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 28218 MS Primary

Addresses

Primary practice location

4331 Highway 39 N Ste a
Meridian, MS 39301-1007

Mailing address

4331 Highway 39 N Ste a
Meridian, MS 39301-1007
Phone (601) 938-4251

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210312000365 MS Practitioner - Dermatology 5193017390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Mississippi School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians

Practice addresses (Care Compare)

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 484-6700

2401 16TH St
Meridian, MS 39301-3950
Phone (601) 482-4181

4331 Hwy 39 N a
Ochsner Dermatology Center
Meridian, MS 39301-1007
Phone (601) 693-1044

Hospital & facility affiliations

  • Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
  • Centerwell Home Health Home health agency, Meridian, MS, CCN 257300
  • Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069

Merit-based Incentive Payment System (MIPS)

Final score
23.57 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
78.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision163
Removal of skin lesions1094
Removal of skin cancer382
Removal or shaving of skin growth52
Skin biopsy452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28218MSMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation, Inc. Single Specialty CurrentSince May 1, 2021 Accepting new patients
Medical Foundation, Inc. Single Specialty CurrentSince May 1, 2021 Accepting new patients

Locations

4331 Highway 39 N
#A
Meridian, MS 39301
Phone (601) 484-6180

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1104288752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 HIGHWAY 39 N STE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011007",
            "telephone_number": "601-938-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 HIGHWAY 39 N STE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011007",
            "telephone_number": "601-693-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "JESS",
        "middle_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MS",
            "license": "28218",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MS",
            "license": "28218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.