Active NPI
Julie Waddle Denton, MD
- Emergency Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 26550
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26550 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Services of Meridian, Inc. | Emergency Medicine | Current | Accepting new patients |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| Mississippi Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Mississippi Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Keystone Medical Services of Ms, Inc | Emergency Medicine | Current | Accepting new patients |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Jackson HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| App of Mississippi Ed, LLC | Emergency Medicine | Current | Accepting new patients |
| State of Mississippi-University of Mississippi Medical Center | Current | 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
- 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.
-
- Emergency Medicine Physician
- Corinth, MS
- NPI 1902174832
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1730687740
-
- Critical Access Hospital
- Forest, MS
- NPI 1306909734
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1184305856
-
- Emergency Medicine Physician
- Hazlehurst, MS
- NPI 1174691059
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Rural Health Clinic/Center
- Raleigh, MS
- NPI 1871272724
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1982011714
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Family Medicine Physician
- Grenada, MS
- NPI 1932538527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.