James L Wootton III, MD
Individual provider Active NPI Family Medicine Physician · Fayette, MS
NPI 1114184249 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1114184249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25172 (MS)
- Practice address
- 405 Main St
Fayette, MS 39069-5576 - Phone
- (601) 786-3475
- Fax
- (601) 786-6320
- NPI assigned
- May 16, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson Comprehensive Health Center, Inc.
Practice addresses (Care Compare)
145 Homochitto St
Natchez, MS 39120-3906
Phone (601) 442-4863
405 Main St
Fayette, MS 39069-5576
Phone (601) 786-3475
P O Box
Fayette, MS 39069-0098
PO Box
Fayette, MS 39069-0098
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170822000662 | MS | Practitioner - Family Practice | 1658540877 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Comprehensive Health Center, Inc. | Current |
Accepting new patients | |
| Jefferson Comprehensive Health Center, Inc. | Current | Accepting new patients | |
| Jefferson Comprehensive Health Center, Inc. | Current |
Accepting new patients | |
| Aaron E. Henry Community Health | Current |
Accepting new patients | |
| Aaron E Henry Community Health | Current | Accepting new patients | |
| Aaron E. Henry Community Health Services Center, Inc | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| St Francis Medical Center, Inc | Past | Accepting new patients |
Locations
600 Ohio Ave
Clarksdale, MS 38614
Phone (662) 624-2872
225 Community Dr
Fayette, MS 39069
Phone (601) 786-2475
405 Main St
Fayette, MS 39069
145 Homochitto St
Natchez, MS 39120
Phone (601) 442-4863
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25172 | MS | Yes |
Addresses
Primary practice location
405 Main St
Fayette, MS 39069-5576
Mailing address
405 Main St
Fayette, MS 39069-5576
Phone (601) 786-3475
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05039502 | Medicaid | MS |
Other providers in Fayette, MS
All providers in Fayette, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.