Individual provider Active NPI

James R Parkerson III, D D S

  • General Practice Dentistry
  • Greenville, MS
National Provider Identifier
1295903300
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3026-97 Issued in MS
Practice address
851 S Main St
Greenville, MS 38701-5871
Phone
(662) 332-8512
Fax
(662) 332-3474
NPI assigned
Feb 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3026-97 MS Primary

Addresses

Primary practice location

851 S Main St
Greenville, MS 38701-5871

Mailing address

851 S Main St
Greenville, MS 38701-5871
Phone (662) 332-8512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 2, 2016 through Jun 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3026-97MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James R Parkerson, Jr, DDS, PA General Practice Past Accepting new patients

Organizations & group practices 1

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": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1295903300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387015871",
            "telephone_number": "662-332-8512",
            "fax_number": "662-332-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387015871",
            "telephone_number": "662-332-8512",
            "fax_number": "662-332-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKERSON",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "D D S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3026-97",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.