NPIMap

Individual provider Active NPI

Jeffrey W Dennis, MD

  • Internal Medicine Physician
  • Oxford, MS
National Provider Identifier
1386750909
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17434 Issued in MS
Practice address
551 Azalea Dr
Oxford, MS 38655-7900
Phone
(662) 234-0332
Fax
(662) 234-2891
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17434 MS Primary

Addresses

Primary practice location

551 Azalea Dr
Oxford, MS 38655-7900

Mailing address

551 Azalea Dr
Oxford, MS 38655-7900
Phone (662) 234-0332

Other identifiers 2

IdentifierTypeStateIssuer
126004MedicaidMS
64-0606089OtherMSEMPLOYER IDENTIFICATION #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000607 MS Practitioner - Internal Medicine 8224112669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates of OxfordGroup PAC ID 1153405592, 7 clinicians

Practice addresses (Care Compare)

551 Azalea Dr
Oxford, MS 38655-7900
Phone (662) 234-0332

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17434MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Feb 1, 2015 Accepting new patients
Internal Medicine Associates of Oxford Internal Medicine CurrentSince Oct 1, 2001 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Feb 1, 2015 Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

551 Azalea Dr
Oxford, MS 38655
Phone (662) 234-0332

Interoperability endpoints

  • Direct secure messaging: jdennis11676@direct.bmhcc.org

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1386750909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 AZALEA DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557900",
            "telephone_number": "662-234-0332",
            "fax_number": "662-234-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 AZALEA DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557900",
            "telephone_number": "662-234-0332",
            "fax_number": "662-234-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "17434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126004",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER IDENTIFICATION #",
            "identifier": "64-0606089",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.