Individual provider Active NPI

John H Laymon, NP

  • Nurse Practitioner
National Provider Identifier
1154581452
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R142512-1 Issued in MN
Practice address
USA Meddac Bavaria
CMR 411 BLDG 700
Apo, AE 09112
Phone
(314) 590-3631
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R142512-1 MN Primary

Addresses

Primary practice location

USA Meddac Bavaria
CMR 411 BLDG 700
Apo, AE 09112

Mailing address

USA Meddac Bavaria
CMR 411 BLDG 700
Apo, AE 09112
Phone (314) 590-3631

Other identifiers 4

IdentifierTypeStateIssuer
36088000MedicaidWI
ENROLLEDMedicaidMN
P00733607OtherMNRAILROAD MEDICARE
ENROLLEDMedicaidIA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420003062 MS Practitioner - Nurse Practitioner 9234201500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1410 E Woodrow Wilson Dr
Umc Pavilion
Jackson, MS 39216-5197
Phone (601) 815-2005

Hospital & facility affiliations

  • Bios Home Health Care LLC Home health agency, Sapulpa, OK, CCN 377138
  • Mississippi Methodist Rehab Ctr Hospital, Jackson, MS, CCN 250152
  • University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001
  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3515MNMDCorneal and Contact Management Optometrist
R142512-1MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Nov 9, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Nov 9, 2024 Accepting new patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince Apr 1, 2023 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1410 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 815-4775

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1154581452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "USA MEDDAC BAVARIA",
            "address_2": "CMR 411 BLDG 700",
            "city": "APO",
            "state": "AE",
            "postal_code": "09112",
            "telephone_number": "314-590-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "USA MEDDAC BAVARIA",
            "address_2": "CMR 411 BLDG 700",
            "city": "APO",
            "state": "AE",
            "postal_code": "09112",
            "telephone_number": "314-590-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYMON",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R142512-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36088000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00733607",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.