Individual provider Active NPI

Jay Paul McDonald II, MD

  • Anesthesiology Physician
  • Southaven, MS
National Provider Identifier
1144532276
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
23317 Issued in MS
Practice address
7900 Airways Blvd Ste 2
Southaven, MS 38671-4113
Phone
(662) 404-8630
NPI assigned
Jul 6, 2010
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 56365 TN
Anesthesiology Physician 207L00000X 23317 MS Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 23317 MS
Interventional Pain Medicine Physician 208VP0014X 23317 MS

Addresses

Primary practice location

7900 Airways Blvd Ste 2
Southaven, MS 38671-4113

Mailing address

PO Box 649113
Dallas, TX 75264-9113
Phone (855) 343-5763

Other practice location 1

120 Stone Creek Blvd Ste 500
Flowood, MS 39232-8210
Phone (601) 420-2040

Other practice location 2

6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700

Other identifiers 3

IdentifierTypeStateIssuer
01522869MedicaidMS
100181198MedicaidMS
Q031256MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150224000665 MS Practitioner - Pain ManagementPractitioner - Anesthesiology 1254657984 Reassigns benefits to 1 organization
I20171003005888 TN Practitioner - Pain Management 1254657984 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Tulane University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flowood Pain Center, LLCGroup PAC ID 6901154293, 25 clinicians
Pain Management Group LLCGroup PAC ID 0143453670, 54 clinicians
HMC Physician ServicesGroup PAC ID 4981889862, 17 clinicians

Practice addresses (Care Compare)

6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (903) 571-3844

7900 Airways Blvd
Southaven, MS 38671-4113
Phone (662) 404-8630

935 Wayne Rd
Savannah, TN 38372-1904
Phone (731) 926-8000

935 Wayne Rd
Suite B
Savannah, TN 38372-1919
Phone (731) 926-8373

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.8 of 100Reported as group
Quality
67.04
Promoting interoperability
100
Improvement activities
40
Cost
75.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56365TNMDAnesthesiology Physician
23317MSMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Group LLC Pain Medicine CurrentSince Nov 20, 2024 Accepting new patients
HMC Physician Services CurrentSince Jan 1, 2026 Accepting new patients
Flowood Pain Center, LLC Pain Medicine CurrentSince Jan 1, 2025 Accepting new patients

Locations

120 Stone Creek Blvd
Ste 500
Flowood, MS 39232
Phone (601) 202-2040

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

7900 Airways Blvd
Bldg C2
Southaven, MS 38671
Phone (662) 349-5554

7900 Airways Blvd
Ste 2
Southaven, MS 38671
Phone (662) 404-8630

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

6325 Humphreys Blvd
Memphis, TN 38120
Phone (901) 522-7739

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

935 Wayne Rd
Ste B
Savannah, TN 38372
Phone (731) 926-8373

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEHEBD
  • Direct secure messaging: jay.mcdonald.jr.1@28653.direct.athenahealth.com
  • Direct secure messaging: jmcdonald146896@direct.bmhcc.org
  • Direct secure messaging: jmcdonald27529@mlh.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1144532276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649113",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752649113",
            "telephone_number": "855-343-5763",
            "fax_number": "855-343-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 AIRWAYS BLVD STE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714113",
            "telephone_number": "662-404-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Stone Creek Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392328210",
            "country_code": "US",
            "telephone_number": "601-420-2040",
            "fax_number": "601-420-2356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6325 Humphreys Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202300",
            "country_code": "US",
            "telephone_number": "901-522-7700",
            "fax_number": "901-522-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JAY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "56365",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "23317",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MS",
            "license": "23317",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MS",
            "license": "23317",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01522869",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100181198",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q031256",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.