Jackson Walters, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

22184 Issued in MS

Practice address

670 Leigh Dr
Columbus, MS 39705-3014

Phone

(662) 328-1012

Fax

(662) 328-1507

NPI assigned

Aug 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

University of Mississippi School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Columbus Orthopaedic Clinic, P.a.Group PAC ID 5890751945, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mississippi Homecare of Eupora Home health agency, Eupora, MS, CCN 257122
• Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
• BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Merit-based Incentive Payment System (MIPS)

Final score

73.02 of 100Reported as group

Quality

38.91

Promoting interoperability

82

Improvement activities

40

Cost

86.15

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jackson_l_walters_md@yourcarecommunity.org
• Direct secure messaging: jacksonwalters@och.allscriptsdirect.net

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.

• The Columbus Orthopaedic Clinic, P.a.

  • Orthopaedic Surgery Physician
  • Columbus, MS
  • NPI 1740287374
  Medicare reassignment Care Compare group NPD
• Oktibbeha County Hospital

  • Rural Acute Care Hospital
  • Starkville, MS
  • NPI 1154310514
  NPD
• The Columbus Orthopaedic Clinic, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Starkville, MS
  • NPI 1447028352
  NPD
• The Columbus Orthopaedic Clinic, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Starkville, MS
  • NPI 1356855852
  NPD (past)

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

• Able Home Health, Inc.

  • Home Health Agency
  • Eupora, MS
  • NPI 1659483196
  Care Compare affiliation
• Baptist Memorial Hosp Oktibbeha County Inc.

  • Rural Acute Care Hospital
  • Starkville, MS
  • NPI 1346112521
  Care Compare affiliation
• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  Care Compare affiliation

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1124274733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053014",
            "telephone_number": "662-328-1012",
            "fax_number": "662-328-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053014",
            "telephone_number": "662-328-1012",
            "fax_number": "662-328-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JACKSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MS",
            "license": "22184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07800068",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Wallace Brain and Spine, PLLC
• Ann Millsaps Wallace
• Candace Walsh
• Ryder Vancil Ward, PHARMD
• Stephanie Renay Ward, P.T.
• Tiffany Warren, FNP
• Truenetta Warren, MA
• Letitia Marie Washington, FNP

• Pain Medicine (Anesthesiology) Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Pain Medicine (Anesthesiology) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.

Verify at the official NPI Registry.