Individual provider Active NPI

John Thomas Pessoney, MD

  • Occupational Medicine Physician
  • Pascagoula, MS
National Provider Identifier
1437253515
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
20863 Issued in MS
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

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
204642102OtherMOMEDICAID
243419306MedicaidMO

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

LicenseStateTypeSpecialty
2003000629MOMDOccupational Medicine Physician
20863MSMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System Occupational Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.