James Wilson Speck, M.D
Individual provider Active NPI Family Medicine Physician · University, MS
NPI 1124031414 · NPPES record last updated Nov 5, 2021
Key facts
- NPI
- 1124031414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 05496 (MS)
- Practice address
- Student Health Service
Rebel Drive
University, MS 38677 - Phone
- (662) 915-7274
- Fax
- (662) 915-5292
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05496 | MS | Yes |
Addresses
Primary practice location
Student Health Service
Rebel Drive
University, MS 38677
Mailing address
PO Box 1848
University, MS 38677-1848
Phone (662) 915-7274
Other providers in University, MS
- David Scott Rodgers
- Abigail Russell
- Marcus K Showalter
- Shannon Singletary
- Hubert Earl Spears Jr.
- Hillary Estelle Staten
- Stephanie H. Stevens
- Adam Stewart
- Sydney Nicole Stewart
- Jasmine Suggs
All providers in University, 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 Nov 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.