Active NPI
John Thomas Pessoney, MD
- Occupational Medicine Physician
- Pascagoula, MS
National Provider Identifier
1437253515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 20863
- Practice address
- 5912 Old Mobile Highway
Suite 1
Pascagoula, MS 39581 - Phone
- (228) 471-1000
- Fax
- (228) 471-1039
- NPI assigned
- Sep 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 2003000629 | MO | |
| Occupational Medicine Physician | 2083X0100X | 20863 | MS | Primary |
Addresses
Primary practice location
5912 Old Mobile Highway
Suite 1
Pascagoula, MS 39581
Mailing address
5912 Old Mobile Hwy
Suite 1
Pascagoula, MS 39581-4520
Phone (228) 471-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204642102 | Other | MO | MEDICAID |
| 243419306 | Medicaid | MO |
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 |
|---|---|---|---|
| 2003000629 | MO | MD | Occupational Medicine Physician |
| 20863 | MS | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Health System | Occupational Medicine | Past | Accepting new patients |
Interoperability endpoints
- jpessoney@direct.mhg.com
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 and National Provider Directory roles.
-
dba Medworks
- Occupational Medicine Physician
- Pascagoula, MS
- NPI 1811125420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1437253515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5912 OLD MOBILE HWY",
"address_2": "SUITE 1",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395814520",
"telephone_number": "228-471-1000",
"fax_number": "228-471-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5912 OLD MOBILE HIGHWAY",
"address_2": "SUITE 1",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "39581",
"telephone_number": "228-471-1000",
"fax_number": "228-471-1039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESSONEY",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MO",
"license": "2003000629",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MS",
"license": "20863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "204642102",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "243419306",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.