Individual provider Active NPI

James R Medlin, MD

  • Family Medicine Physician
  • Macon, MS
National Provider Identifier
1164539599
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
06439 Issued in MS
Practice address
606 N Jefferson St
Macon, MS 39341-2242
Phone
(662) 726-4231
Fax
(662) 726-4204
NPI assigned
Aug 23, 2006
Last updated
Sep 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 06439 MS Primary

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

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
I20101117001458 MS Practitioner - Emergency MedicinePractitioner - Family Practice 0244426146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

78 Hospital Rd
Macon, MS 39341-2490
Phone (662) 726-4231

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Noxubee General Critical Access Hospital CurrentSince Aug 23, 2010 Accepting new patients
Noxubee General Critical Access Hospital CurrentSince Aug 23, 2010 Accepting new patients
Noxubee County Nursing Home Past Accepting new patients
Urgent Care of Long Beach LLC Family Medicine Past Accepting new patients
Medplus Urgent Clinic LLC Family Medicine PastSince Feb 21, 2011 Accepting new patients
Noxubee General Critical Access Hospital Past Accepting new patients

Locations

3878 Jefferson St
Macon, MS 39341
Phone (601) 726-5831

606 N Jefferson St
Macon, MS 39341
Phone (601) 726-4231

78 Hospital Rd
Macon, MS 39341
Phone (662) 726-4231

78 Hospital Rd
Ste 1
Macon, MS 39341

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJABD

Organizations & group practices 6

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 5

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1164539599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393410480",
            "telephone_number": "662-726-4231",
            "fax_number": "662-726-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N JEFFERSON ST",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393412242",
            "telephone_number": "662-726-4231",
            "fax_number": "662-726-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "06439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, MS

Sources for this page

Verify at the official NPI Registry.