James R Medlin, MD
Individual provider Active NPI Family Medicine Physician · Macon, MS
NPI 1164539599 · NPPES record last updated Sep 14, 2012
Key facts
- NPI
- 1164539599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 06439 (MS)
- Practice address
- 606 N Jefferson St
Macon, MS 39341-2242 - Phone
- (662) 726-4231
- Fax
- (662) 726-4204
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Noxubee General Critical Access Hospital
Practice addresses (Care Compare)
78 Hospital Rd
Macon, MS 39341-2490
Phone (662) 726-4231
Hospital & facility affiliations
- Centerwell Home Health
- Accentcare Home Health of Carthage
- Noxubee General Critical Access Hosp
- BMH-Golden Triangle
- Noxubee General Critical Access Hosp
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101117001458 | MS | Practitioner - Emergency Medicine |
0244426146 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noxubee General Critical Access Hospital | Current |
Accepting new patients | |
| Noxubee General Critical Access Hospital | Current |
Accepting new patients | |
| Medplus Urgent Clinic LLC | Family Medicine | Past |
Accepting new patients |
| Noxubee County Nursing Home | Past | Accepting new patients | |
| Urgent Care of Long Beach LLC | Family Medicine | Past | Accepting new patients |
| Noxubee General Critical Access Hospital | Past | Accepting new patients |
Locations
606 N Jefferson St
Macon, MS 39341
Phone (601) 726-4231
78 Hospital Rd
Macon, MS 39341
Phone (662) 726-4231
3878 Jefferson St
Macon, MS 39341
Phone (601) 726-5831
78 Hospital Rd
Ste 1
Macon, MS 39341
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBJABD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 06439 | MS | Yes |
Addresses
Primary practice location
606 N Jefferson St
Macon, MS 39341-2242
Mailing address
PO Box 480
Macon, MS 39341-0480
Phone (662) 726-4231
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00014090 | Medicaid | MS |
Other providers in Macon, MS
- Yanci Lavender
- Philip S. Lee
- Macon City Drug Store, Inc.
- Macon City Drug Store, Inc.
- Macon Clinical Laboratory, Inc.
- MHS, Inc.
- Royce Vandiver Miles Jr.
- Mississippi State Department of Health
- Mitchell Dental Clinic, Inc
- John D. Mitchell Jr.
All providers in Macon, 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 Sep 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.