Individual provider Active NPI

Thomas Jason Dunn, D.O.

  • Nephrology Physician
  • Columbus, MS
National Provider Identifier
1376584912
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
17656 Issued in MS
Practice address
129 N Brookmoore Dr
Columbus, MS 39705-2024
Phone
(662) 329-3838
Fax
(662) 329-2515
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 17656 MS Primary

Addresses

Primary practice location

129 N Brookmoore Dr
Columbus, MS 39705-2024

Mailing address

129 N Brookmoore Dr
Columbus, MS 39705-2024
Phone (662) 329-3838

Other identifiers 1

IdentifierTypeStateIssuer
00126582MedicaidMS

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
I20040910000722 MS Practitioner - NephrologyPractitioner - Internal Medicine 0345217303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, PCGroup PAC ID 5799752762, 5 clinicians

Practice addresses (Care Compare)

111 Eudora Welty Dr
Starkville, MS 39759-7746
Phone (662) 329-3838

Hospital & facility affiliations

  • RCG Louisville Dialysis facility, Louisville, MS, CCN 252566
  • RCG Columbus (Golden Triangle) Dialysis facility, Columbus, MS, CCN 252508
  • FMC Golden Triangle Home Therapies Dialysis facility, Columbus, MS, CCN 252578
  • RCG Lowndes County Dialysis Dialysis facility, Columbus, MS, CCN 252580
  • FKC Starkville Home, LLC Dialysis facility, Starkville, MS, CCN 252601
  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100
  • Winston Medical Center Hospital, Louisville, MS, CCN 250027
  • Noxubee General Critical Access Hosp Hospital, Macon, MS, CCN 251307
  • Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC Nephrology CurrentSince Jul 1, 2004 Accepting new patients
Fresenius Medical Care Starkville Home, LLC PastSince May 1, 2022 Accepting new patients
Felix James Allen, M.D., P.C. PastSince Apr 16, 2023 Accepting new patients

Locations

129 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 329-3838

111 Eudora Welty Dr
Starkville, MS 39759
Phone (662) 329-3838

Interoperability endpoints

  • Direct secure messaging: tdunn25172@direct.acumenmd.com

Organizations & group practices 3

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 8

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1376584912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N BROOKMOORE DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052024",
            "telephone_number": "662-329-3838",
            "fax_number": "662-329-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N BROOKMOORE DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052024",
            "telephone_number": "662-329-3838",
            "fax_number": "662-329-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "THOMAS",
        "middle_name": "JASON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "17656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126582",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.