Individual provider Active NPI

Julie Waddle Denton, MD

  • Emergency Medicine Physician
  • Jackson, MS
National Provider Identifier
1265964381
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
26550 Issued in MS
Practice address
2500 North State Street
Jackson, MS 39216-4505
Phone
(601) 984-5582
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 26550 MS Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2500 North State Street
Jackson, MS 39216-4505

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5582

Other names 1

  • Julie Rebecca Waddle Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926000351 MS Practitioner - Emergency Medicine 3375814650 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Physicians LLPGroup PAC ID 7113193855, 24 clinicians

Practice addresses (Care Compare)

1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26550MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services of Meridian, Inc. Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Jul 15, 2019 Accepting new patients
Mississippi Physicians LLP Emergency Medicine Current Accepting new patients
Mississippi Physicians, LLP Emergency Medicine CurrentSince Jul 4, 2023 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Jul 15, 2019 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Dec 6, 2019 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince May 17, 2020 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Dec 6, 2019 Accepting new patients

Locations

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

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

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

330 N Broad St
Forest, MS 39074
Phone (601) 469-4151

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

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

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

2500 N State St
Ste 4200
Jackson, MS 39216

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Interoperability endpoints

  • Direct secure messaging: jdenton579411@direct.bmhcc.org

Organizations & group practices 11

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 1

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1265964381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NORTH STATE STREET",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164505",
            "telephone_number": "601-984-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "JULIE",
        "middle_name": "WADDLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "26550",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "WADDLE",
            "middle_name": "REBECCA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.