Individual provider Active NPI

David A. Dean, D.O.

  • Emergency Medicine Physician
  • Jackson, MS
National Provider Identifier
1114976677
Registry record updated Sep 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15337 Issued in MS
Practice address
1850 Chadwick Dr
Central Mississippi Medical Center Emergency Department
Jackson, MS 39204-3404
Phone
(601) 376-2943
Fax
(601) 376-2947
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 15337 MS Primary

Addresses

Primary practice location

1850 Chadwick Dr
Central Mississippi Medical Center Emergency Department
Jackson, MS 39204-3404

Mailing address

441 Wimbledon Drive
Brandon, MS 39047
Phone (601) 829-2127

Other identifiers 1

IdentifierTypeStateIssuer
00120974MedicaidMS

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
I20050516000037 MS Practitioner - Family PracticePractitioner - Emergency Medicine 1254372741 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Mississippi School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson HB Medical Services LLCGroup PAC ID 6103273131, 50 clinicians

Practice addresses (Care Compare)

1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (601) 376-2832

Hospital & facility affiliations

  • Merit Health Central Hospital, Jackson, MS, CCN 250072
  • Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
  • Merit Health River Region Hospital, Vicksburg, MS, CCN 250031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leake Emergency Group, LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Mar 17, 2018 Accepting new patients
King'S Daughters Medical Center CurrentSince Nov 19, 2012 Accepting new patients
Attala Emergency Group LLC Emergency Medicine CurrentSince Mar 10, 2014 Accepting new patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients
United Emergency Services, Inc. Emergency Medicine CurrentSince Feb 1, 2013 Accepting new patients
Kings Daughters Medical Center Current Accepting new patients
King'S Daughters Medical Center CurrentSince Nov 19, 2012 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Medical Services of Meridian, Inc. Emergency Medicine CurrentSince Mar 15, 2019 Accepting new patients
Relias Emergency Medicine Specialists of Amory, LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Relias Emergency Medicine Specialists of Hattiesburg LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Apr 1, 2015 Accepting new patients
River Oaks Management Company LLC Past Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Organizations & group practices 14

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.

View all 14

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379203200000",
    "number": "1114976677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 WIMBLEDON DRIVE",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "39047",
            "telephone_number": "601-829-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "address_2": "CENTRAL MISSISSIPPI MEDICAL CENTER EMERGENCY DEPARTMENT",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043404",
            "telephone_number": "601-376-2943",
            "fax_number": "601-376-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "15337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120974",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.