Active NPI
James Kevin Glisson, M.D.
- Internal Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18670
- Practice address
- 2500 N State St
Department of Medicine Division of General Internal Med
Jackson, MS 39216-4500 - Phone
- (601) 984-5660
- NPI assigned
- Jun 16, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18670 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Department of Medicine Division of General Internal Med
Jackson, MS 39216-4500
Mailing address
PO Box 22727
Jackson, MS 39225-2727
Phone (601) 200-4749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00501056 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050701000697 | MS | Practitioner - Internal Medicine | 8628014453 | Reassigns benefits to 12 organizations |
| I20221122003376 | AL | Practitioner - Internal Medicine | 8628014453 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Mississippi School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- RH Mississippi Hospitalist Medicine LLC
Practice addresses (Care Compare)
969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-2000
Hospital & facility affiliations
- Mississippi Homecare of Jackson
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Centerwell Home Health
- St Dominic-Jackson Memorial Hospital
- King'S Daughters Medical Center-Brookhaven
- Southwest Ms Regional Medical Center
- Mississippi Baptist Medical Center
- Baptist Medical Center-Leake
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18670 | MS | MD | Internal Medicine Physician |
Practice roles
Locations
1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
3500 Lakeland Dr
Ste 515
Jackson, MS 39232
Phone (601) 500-5367
969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644
130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400
176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510
1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321
Interoperability endpoints
- jamesglisson@nmhs.medalliesdirect.net
Organizations & group practices 18
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Flowood, MS
- NPI 1346084100
MS
-
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1336867415
MS
-
- Hospitalist Physician
- Pontotoc, MS
- NPI 1972189330
MS
-
- Hospitalist Physician
- Tupelo, MS
- NPI 1710622832
MS
-
- Hospitalist Physician
- West Point, MS
- NPI 1821638578
MS
-
- Hospitalist Physician
- Picayune, MS
- NPI 1841068756
MS
-
- Hospitalist Physician
- Tylertown, MS
- NPI 1053173237
MS
-
- Emergency Medicine Physician
- Fayette, AL
- NPI 1093201543
AL
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Flowood, MS
- NPI 1417935578
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
Hospital
-
- Home Health Agency
- Jackson, MS
- NPI 1730373275
-
- General Acute Care Hospital
- McComb, MS
- NPI 1407805971
Hospital
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
Hospital
-
- Home Health Agency
- Clinton, MS
- NPI 1356482749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1245274281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22727",
"city": "JACKSON",
"state": "MS",
"postal_code": "392252727",
"telephone_number": "601-200-4749",
"fax_number": "601-200-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "DEPARTMENT OF MEDICINE DIVISION OF GENERAL INTERNAL MED",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLISSON",
"first_name": "JAMES",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "18670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00501056",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.