Individual provider Active NPI

Jonathan Bagley, M.D.

  • Anesthesiology Physician
  • Jackson, MS
National Provider Identifier
1306100771
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
T-2531 Issued in MS
Practice address
2500 N State St
Department of Anesthesiology
Jackson, MS 39216-4500
Phone
(601) 984-5914
Fax
(601) 984-5915
NPI assigned
Jun 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X T-2531 MS Primary

Addresses

Primary practice location

2500 N State St
Department of Anesthesiology
Jackson, MS 39216-4500

Mailing address

2500 N State St
Department of Anesthesiology
Jackson, MS 39216-4500
Phone (601) 984-5914

Other identifiers 1

IdentifierTypeStateIssuer
T-2531OtherMSTEMPORARY LICENSES

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
I20160718000167 MS Practitioner - Anesthesiology 5193042760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Mississippi School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants PAGroup PAC ID 4486637881, 102 clinicians

Practice addresses (Care Compare)

1026 N Flowood Dr
Jackson, MS 39232-9532
Phone (601) 932-1000

1030 River Oaks Dr
Flowood, MS 39232-9553
Phone (601) 932-1030

Hospital & facility affiliations

  • Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
  • Merit Health Women'S Hospital Hospital, Flowood, MS, CCN 250136

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants PA Anesthesiology CurrentSince Jun 1, 2016 Accepting new patients

Locations

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

2466 Flowood Dr
#A
Flowood, MS 39232
Phone (601) 326-9393

2550 Flowood Dr
Ste 400
Flowood, MS 39232
Phone (601) 933-9521

2550 Flowood Dr
Ste 101
Flowood, MS 39232
Phone (601) 939-5544

996 Top St
Flowood, MS 39232
Phone (601) 936-2526

1501 Lakeland Dr
Ste 101
Jackson, MS 39216
Phone (601) 366-1085

1026 N Flowood Dr
Jackson, MS 39232
Phone (601) 932-1000

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

760 Lakeland Dr
Jackson, MS 39216
Phone (601) 362-8700

501 Baptist Dr
Ste 200
Madison, MS 39110
Phone (601) 985-9120

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

Interoperability endpoints

  • Direct secure messaging: jbagley219370@ummc.direct-ci.com
  • Direct secure messaging: jbagley2548830@direct.casso.us.com

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.

Hospital & facility affiliations 2

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1306100771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5914",
            "fax_number": "601-984-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5914",
            "fax_number": "601-984-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "T-2531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY LICENSES",
            "identifier": "T-2531",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.