Active NPI
Joel Ray Flynt, M.D.
- Obstetrics & Gynecology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 07304
- Practice address
- 3502 West Nortside Drive
Jackson, MS 39213 - Phone
- (601) 362-5321
- NPI assigned
- Feb 7, 2006
- Last updated
- Sep 21, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 07304 | MS | Primary |
Addresses
Primary practice location
3502 West Nortside Drive
Jackson, MS 39213
Mailing address
3502 West Nortside Drive
Jackson, MS 39213
Phone (601) 362-5321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00019329 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07304 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Mississippi Civic Improvement Association, Inc | Current | Accepting new patients | |
| Central Mississippi Civic Improvement Association, Inc. | Current | Accepting new patients |
Locations
1860 Chadwick Dr
Ste 254
Jackson, MS 39204
Phone (601) 376-2818
3502 W Northside Dr
Jackson, MS 39213
Phone (601) 982-1625
129 White Oak St
Utica, MS 39175
Phone (601) 885-6021
Interoperability endpoints
- jflynt53556@ummc.direct-ci.com
- joel.flynt@jhchc.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jackson Hinds Comprehensiv Health Center
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1134151442
-
dba Jackson Hinds Comprehensive Health Center Unit 7
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1215744396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1376516849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 WEST NORTSIDE DRIVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "39213",
"telephone_number": "601-362-5321",
"fax_number": "601-364-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 WEST NORTSIDE DRIVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "39213",
"telephone_number": "601-362-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNT",
"first_name": "JOEL",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "07304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00019329",
"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 Sep 21, 2015; 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.