Active NPI
Jatinder Singh, MD
- Internal Medicine Physician
- Waynesboro, MS
National Provider Identifier
1356310536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10791
- Practice address
- 920 Matthew Dr
Waynesboro, MS 39367-2553 - Phone
- (601) 735-2281
- Fax
- (601) 735-2281
- NPI assigned
- Mar 17, 2006
- Last updated
- Nov 27, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10791 | MS | Primary |
Addresses
Primary practice location
920 Matthew Dr
Waynesboro, MS 39367-2553
Mailing address
920 Matthew Dr
Waynesboro, MS 39367-2553
Phone (601) 735-2281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00016697 | Medicaid | MS |
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 |
|---|---|---|---|---|
| I20040816000519 | MS | Practitioner - Emergency Medicine | 4688647977 | Practice locations: Waynesboro, MS |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10791 | MS | MD | Internal Medicine Physician |
| 10794 | MS | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259280000000",
"number": "1356310536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MATTHEW DR",
"city": "WAYNESBORO",
"state": "MS",
"postal_code": "393672553",
"telephone_number": "601-735-2281",
"fax_number": "601-735-2281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MATTHEW DR",
"city": "WAYNESBORO",
"state": "MS",
"postal_code": "393672553",
"telephone_number": "601-735-2281",
"fax_number": "601-735-2281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "JATINDER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2009-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "10791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016697",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesboro, MS
- Peyton Lowery Rogers, NP
- Pamela Shanks, CCSS
- Ross Kelvin Sherman, M.D.
- Kyleigh McIlwain Shirah, FNP-C
- Darrick Siew, M.D.
- Bradley Scott Smith
- South Central Clinics, Inc (South Central Dermatology - Waynesboro)
- South Central Regional Medical Center (South Central Dermatology Clinic - Waynesboro)
- Stanley Discount Drugs, Inc
- Charles Todd Stokley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.