James Terence Phelan, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

80140 Issued in MS

Practice address

2429 W Commerce St Ste a
Ocean Springs, MS 39564-3124

Phone

(228) 875-1141

Fax

(228) 875-6885

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1194805457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 W COMMERCE ST STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643124",
            "telephone_number": "228-875-1141",
            "fax_number": "228-875-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 W COMMERCE ST STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643124",
            "telephone_number": "228-875-1141",
            "fax_number": "228-875-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "JAMES",
        "middle_name": "TERENCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MS",
            "license": "80140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118410",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pensacola Health Trust Inc (Ocean Springs Nursing Home)
• Bethany Marie Perez, CSW
• Erin Petersen, MD
• Meghan Alyssa Pettis
• Mai Pham
• Stephanie Fay Phelan, D.P.M.
• Aubrey Phillips
• Phoenix Behavioral Health Center, PLLC
• Physical Therapy Center of Ocean Springs, LLC (PT Solutions)
• Picking Up Loose Ends LLC

• Foot & Ankle Surgery Podiatrist in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Foot & Ankle Surgery Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.