James Wesley Clements, M.D.

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

10763 Issued in MS

Practice address

664 S State St
Jackson, MS 39201-5611

Phone

(601) 355-3835

Fax

(601) 355-4830

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vicksburg Healthcare LLC

  • Anesthesiology Physician
  • Vicksburg, MS
  • NPI 1629084058
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457566374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 GREYSTONE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109034",
            "telephone_number": "601-355-3835",
            "fax_number": "601-355-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 S STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392015611",
            "telephone_number": "601-355-3835",
            "fax_number": "601-355-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "JAMES",
        "middle_name": "WESLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "MS",
            "license": "10763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Clayton
• CLC of Jackson, LLC
• Cleaning Brigade
• Clear View Vision Care
• William Cleland, M.D.
• Charles Paul Clericuzio
• Dava Sue Cleveland, DO
• Kenneth E Cleveland, MD
• Nicole Duncan Cleveland, MD
• William Matthew Cliburn, MSN, APRN, FNP-C

• All providers in Jackson, MS
• Military Health Care Provider in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.