Individual provider Active NPI

James Gregory Powell, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hattiesburg, MS
National Provider Identifier
1164523932
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
17911 Issued in MS
Practice address
5909 US Highway 49
Suite 30
Hattiesburg, MS 39401
Phone
(601) 296-2780
Fax
(601) 296-2781
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 17911 MS Primary

Addresses

Primary practice location

5909 US Highway 49
Suite 30
Hattiesburg, MS 39401

Mailing address

415 South 28TH Avenue
Hattiesburg, MS 39401
Phone (601) 296-2780

Other identifiers 2

IdentifierTypeStateIssuer
640507572TBOtherMSAMERICAN ADMIN GROUP
07358051MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpowell1967@directpatientrecord.com Health Information Exchange (HIE)

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
I20100525000975 MS Practitioner - Endocrinology 7810026135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

101 Weems St
The Family Clinic of Purvis
Purvis, MS 39475-4062
Phone (601) 794-2224

1014 Rose St
Prentiss, MS 39474-5271
Phone (601) 792-2071

102 Shelby Speights Dr
Purvis, MS 39475-4151
Phone (601) 794-8065

104 Millsaps Dr
Hattiesburg, MS 39402-1328
Phone (601) 268-7500

1101 B S 28TH Ave
Dept of Podiatry
Hattiesburg, MS 39402-2610
Phone (601) 579-5117

1238 Hwy 42
Sumrall, MS 39482-9519
Phone (601) 758-3100

1240 Hwy 42
Sumrall, MS 39482-9519
Phone (601) 264-6000

1407 S Main St
The Poplarville Clinic
Poplarville, MS 39470-3369
Phone (601) 264-6000

15 Orleans Dr
Hattiesburg, MS 39402-8675
Phone (601) 579-5050

201 A Bay Ave
Richton, MS 39476-9671
Phone (601) 583-1559

215 Bobby Beasley St
Seminary, MS 39479-5501
Phone (601) 722-4300

2313 Highway15
Immediate Care Laurel
Laurel, MS 39440-1805
Phone (601) 649-2775

2313 Hwy 15 N
Laurel Family Medicine
Laurel, MS 39440-1805
Phone (601) 264-6000

301 S 28TH Ave
Hattiesburg, MS 39401-7233
Phone (601) 264-6000

360 Simpson Hwy 149
Suite 150
Magee, MS 39111-3846
Phone (601) 721-1828

415 S 28TH Ave
Hattiesburg, MS 39401-7246

415 S 28TH Ave 3Rd Floor
Ambulatory Cardiovascular Center of Mississ
Hattiesburg, MS 39401-7246
Phone (601) 268-1734

415 S 28TH Ave FL
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

4209 Lincoln Rd
Hattiesburg, MS 39402-3065
Phone (601) 264-6000

421 S 28TH Ave
Hattiesburg, MS 39401-7206

50 Pkwy LN
Petal, MS 39465-3035
Phone (601) 264-6000

502 Broad St
Columbia, MS 39429-3037
Phone (601) 736-8282

5192 Old Hwy 11
Suite 2
Hattiesburg, MS 39402-6222
Phone (601) 264-6000

5909 Hwy 49 S 10
Nephrology Vascular Access Center
Hattiesburg, MS 39402-2860
Phone (601) 296-2960

5909 U S Hwy 49
Suite 20
Hattiesburg, MS 39402-2860
Phone (601) 264-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hattiesburg Clinic, PA CurrentSince Jul 21, 2003 Accepting new patients
Hattiesburg Clinic PA CurrentSince Jul 21, 2003 Accepting new patients

Locations

5909 U S Highway 49
Ste 30
Hattiesburg, MS 39402
Phone (601) 296-2780

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

Interoperability endpoints

  • Direct secure messaging: dpowell1967@directpatientrecord.com

Organizations & group practices 2

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 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1164523932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SOUTH 28TH AVENUE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-296-2780",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 US HIGHWAY 49",
            "address_2": "SUITE 30",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-296-2780",
            "fax_number": "601-296-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JAMES",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": "17911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ADMIN GROUP",
            "identifier": "640507572TB",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07358051",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpowell1967@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5909 US Highway 49",
            "address_2": "Suite 30",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.