Active NPI
Jonathan Michael Joseph Jr., MD
- Student in an Organized Health Care Education/Training Program
- Ridgeland, MS
National Provider Identifier
1194466474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 37057
- Practice address
- 124 Ummc Way
Ridgeland, MS 39157-1116 - Phone
- (601) 984-5160
- NPI assigned
- Apr 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 37057 | MS | Primary |
Addresses
Primary practice location
124 Ummc Way
Ridgeland, MS 39157-1116
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-8017
Other practice location 1
2021 Perdido St Ste 7153
New Orleans, LA 70112-1352
Phone (504) 568-7110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220629000079 | LA | Order and Referring Only - Internal Medicine | 0941680540 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jjoseph1649872@direct.casso.us.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1194466474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 UMMC WAY",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391571116",
"telephone_number": "601-984-5160"
}
],
"practiceLocations": [
{
"address_1": "2021 Perdido St Ste 7153",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701121352",
"country_code": "US",
"telephone_number": "504-568-7110",
"fax_number": "504-568-2170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "JONATHAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-02",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MS",
"license": "37057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.