Active NPI
Jodilyn Allred Ferguson
- Pediatrics Physician
- Eupora, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 903566
- Practice address
- 15 Medical PLZ
Eupora, MS 39744-4019 - Phone
- (662) 258-4701
- NPI assigned
- Jul 26, 2021
- Last updated
- Jul 26, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Webster Health Services, Inc | Current | Accepting new patients | |
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| Webster Health Services, Inc. | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Pontotoc Health Services, Inc. | Current | 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
- 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.
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
dba Pontotoc Health Services CAH
- Critical Access Hospital
- Pontotoc, MS
- NPI 1821103516
-
dba Webster General Hospital
- General Acute Care Hospital
- Eupora, MS
- NPI 1982719621
-
dba Radiology Consultants
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
dba North Mississippi Medical Center Hematology Oncology
- Family Nurse Practitioner
- Starkville, MS
- NPI 1053797621
-
dba Children's Clinic-Ecru
- Rural Health Clinic/Center
- Ecru, MS
- NPI 1053728139
-
dba Pontotoc Health Services CAH - Swing Bed
- Critical Access Hospital
- Pontotoc, MS
- NPI 1962512871
-
dba Calhoun County Medical Clinic
- Rural Health Clinic/Center
- Calhoun City, MS
- NPI 1407302151
-
dba Eupora Primary Care Clinic
- Family Medicine Physician
- Eupora, MS
- NPI 1821881913
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.