Individual provider Active NPI

James Wilkinson, DO

  • Emergency Medicine Physician
  • Hammond, LA
National Provider Identifier
1215347315
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
327347 Issued in LA
Practice address
15790 Paul Vega MD Dr
Hammond, LA 70403-1436
Phone
(985) 345-2700
Fax
(985) 230-6480
NPI assigned
Apr 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 24361 MS
Family Medicine Physician 207Q00000X 24361 MS
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 327347 LA Primary

Addresses

Primary practice location

15790 Paul Vega MD Dr
Hammond, LA 70403-1436

Mailing address

PO Box 3087
Hammond, LA 70404-1434
Phone (985) 345-2700

Other practice location 1

6051 U S Highway 49
Hattiesburg, MS 39401-7200
Phone (601) 288-4479

Other practice location 2

2500 N State St
Jackson, MS 39216
Phone (601) 984-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170216001840 MS Practitioner - Emergency MedicinePractitioner - Family Practice 7810296423 Reassigns benefits to 4 organizations
I20210707001284 LA Practitioner - Emergency Medicine 7810296423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
William Carey University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Emergency Group LLCGroup PAC ID 8022237015, 28 clinicians
North Oaks Medical Center LLCGroup PAC ID 2466629522, shared by 7 NPIs, 317 clinicians

Practice addresses (Care Compare)

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (228) 467-8600

15790 Paul Vega MD Dr
Hammond, LA 70403-1434

2500 N State St
Jackson, MS 39216-4500
Phone (601) 898-4404

Hospital & facility affiliations

  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
  • University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001
  • Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24361MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Medical Center, LLC Emergency Medicine CurrentSince Jun 27, 2021 Accepting new patients
Relias Emergency Medicine Specialists of Hattiesburg LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 1, 2020 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Jul 30, 2018 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 1, 2020 Accepting new patients
North Oaks Medical Center, LLC Emergency Medicine CurrentSince May 30, 2025 Accepting new patients
St Tammany Emergency Physicians Group LLC Emergency Medicine CurrentSince Mar 15, 2022 Accepting new patients
Hancock Emergency Group LLC Emergency Medicine CurrentSince May 8, 2020 Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

960 Avent Dr
#100A
Grenada, MS 38901
Phone (662) 227-7000

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
Ste 4200
Jackson, MS 39216

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

Organizations & group practices 8

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 3

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1215347315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3087",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041434",
            "telephone_number": "985-345-2700",
            "fax_number": "985-230-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031436",
            "telephone_number": "985-345-2700",
            "fax_number": "985-230-6480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6051 U S Highway 49",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017200",
            "country_code": "US",
            "telephone_number": "601-288-4479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39216",
            "country_code": "US",
            "telephone_number": "601-984-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "24361",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "24361",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "327347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.