Individual provider Active NPI

Jason C. Lindsey, DO

  • Family Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1295708295
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19964 Issued in MS
Practice address
110 Millsaps Dr
Hattiesburg, MS 39402-1347
Phone
(601) 261-5710
Fax
(601) 296-3083
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19964 MS Primary

Addresses

Primary practice location

110 Millsaps Dr
Hattiesburg, MS 39402-1347

Mailing address

56 Canebrake Blvd
Hattiesburg, MS 39402-8709

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
I20071128000387 MS Practitioner - Family Practice 6103824461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
50.9 of 100Reported as group
Quality
0
Improvement activities
40
Cost
69.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4312OKMDChiropractor
19964MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Practice/After Hours Clinic, PLLC Family Medicine CurrentSince Oct 1, 2007 Accepting new patients
Wesley Physician Services LLC Family Medicine Past Accepting new patients

Locations

110 Millsaps Dr
Hattiesburg, MS 39402
Phone (601) 261-5710

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1295708295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CANEBRAKE BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MILLSAPS DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021347",
            "telephone_number": "601-261-5710",
            "fax_number": "601-296-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "JASON",
        "middle_name": "C.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "19964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.