Active NPI
Joseph Lee Dykes, FNP
- Nurse Practitioner
- Summit, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R880965
- Practice address
- 7900 Highway 570
Summit, MS 39666-7563 - Phone
- (601) 684-7771
- Fax
- (601) 465-0554
- NPI assigned
- May 8, 2015
- Last updated
- May 9, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R880965 | MS | Primary |
Addresses
Primary practice location
7900 Highway 570
Summit, MS 39666-7563
Mailing address
PO Box 1268
Summit, MS 39666-1268
Phone (601) 833-9388
Other practice location 1
111 Magnolia St
Magnolia, MS 39652-2825
Phone (601) 783-2374
Other names 1
- Joe Lee Dykes
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7900 Hwy 570
Summit, MS 39666
7900 Hwy 570
Summit, MS 39666-7563
Phone (601) 684-7771
7900 Hwy 570 W
Summit, MS 39666-7563
7900 Ms Hwy 570 W
Summit, MS 39666
Phone (601) 684-7771
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R880965 | MS | MD | Nurse Practitioner |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Pinnacle Medical Clinic Inc | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Mortgage Interest (100%) Corporate Officer (100%) Corporate Director (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 1, 2019 Aug 1, 2019 Aug 1, 2019 Aug 1, 2019 Aug 1, 2019 Aug 1, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Pinnacle Medical Clinic
- Rural Health Clinic/Center
- Summit, MS
- NPI 1043493851
5% Or Greater Direct Ownership Interest, 5% Or Greater Mortgage Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pinnacle Medical Clinic
- Rural Health Clinic/Center
- Summit, MS
- NPI 1043493851
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Deaconess HomeCare
- Home Health Agency
- Brookhaven, MS
- NPI 1376533778
-
- General Acute Care Hospital
- McComb, MS
- NPI 1407805971
-
- Home Health Agency
- McComb, MS
- NPI 1255401642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1396123402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1268",
"city": "SUMMIT",
"state": "MS",
"postal_code": "396661268",
"telephone_number": "601-833-9388",
"fax_number": "601-833-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 HIGHWAY 570",
"city": "SUMMIT",
"state": "MS",
"postal_code": "396667563",
"telephone_number": "601-684-7771",
"fax_number": "601-465-0554"
}
],
"practiceLocations": [
{
"address_1": "111 Magnolia St",
"address_purpose": "LOCATION",
"city": "Magnolia",
"state": "MS",
"postal_code": "396522825",
"country_code": "US",
"telephone_number": "601-783-2374",
"fax_number": "601-783-5126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYKES",
"first_name": "JOSEPH",
"middle_name": "LEE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-08",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R880965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOE",
"last_name": "DYKES",
"middle_name": "LEE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Summit, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.