Individual provider Active NPI

Jodilyn Allred Ferguson

  • Pediatrics Physician
  • Eupora, MS
National Provider Identifier
1225701394
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
903566 Issued in MS
Practice address
15 Medical PLZ
Eupora, MS 39744-4019
Phone
(662) 258-4701
NPI assigned
Jul 26, 2021
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 903566 MS Primary

Addresses

Primary practice location

15 Medical PLZ
Eupora, MS 39744-4019

Mailing address

575 Sehon Cir
Pontotoc, MS 38863-7320

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210910000290 MS Practitioner - Nurse Practitioner 0143626531 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pontotoc Health Services, Inc. CurrentSince Apr 3, 2024 Accepting new patients
North Mississippi Medical Center, Inc. CurrentSince Jan 31, 2022 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Webster Health Services, Inc CurrentSince Aug 1, 2021 Accepting new patients
Pontotoc Health Services, Inc. Current Accepting new patients
Webster Health Services, Inc. CurrentSince Aug 1, 2021 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Jan 31, 2022 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Apr 3, 2024 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Webster Health Services, Inc. Current Accepting new patients

Locations

202 Main St
Ecru, MS 38841
Phone (662) 489-4345

15 Medical Plz
Eupora, MS 39744
Phone (662) 258-4701

301 Lamar St
Kilmichael, MS 39747
Phone (601) 262-4311

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: jodilynferguson@nmhs.medalliesdirect.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1225701394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 SEHON CIR",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388637320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL PLZ",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397444019",
            "telephone_number": "662-258-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JODILYN",
        "middle_name": "ALLRED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "903566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eupora, MS

Sources for this page

Verify at the official NPI Registry.