Active NPI
Rebecca Jameson, MD
- Internal Medicine Physician
- Sumrall, MS
National Provider Identifier
1396700811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12511
- Practice address
- 4891 Highway 589
Sumrall, MS 39482-3954 - Phone
- (601) 758-4615
- NPI assigned
- Apr 18, 2006
- Last updated
- May 19, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12511 | MS | Primary |
Addresses
Primary practice location
4891 Highway 589
Sumrall, MS 39482-3954
Mailing address
5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 261-5744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00118650 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12511 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QHG of Hattiesburg Inc | Past | Accepting new patients | |
| Pine Belt Anesthesia, LLC | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Hattiesburg, MS
- NPI 1831534783
-
- Emergency Medical Services (Emergency Medicine) Physician
- Hattiesburg, MS
- NPI 1326032400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1396700811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 HARDY ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021308",
"telephone_number": "601-261-5744",
"fax_number": "601-261-5716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4891 HIGHWAY 589",
"city": "SUMRALL",
"state": "MS",
"postal_code": "394823954",
"telephone_number": "601-758-4615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMESON",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "12511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00118650",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sumrall, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.