Active NPI
Jonathan Bagley, M.D.
- Anesthesiology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- T-2531
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T-2531 | Other | MS | TEMPORARY 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
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
- Merit Health Women'S Hospital
Procedures performed for Medicare patients
| Procedure | Number 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants PA | Anesthesiology | Current | 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
- jbagley219370@ummc.direct-ci.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.