Jerry L Stennett, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

7718 Issued in MS

Practice address

255 Baptist Blvd
Ste 407
Columbus, MS 39705-2011

Phone

(662) 241-4223

Fax

(662) 241-4460

NPI assigned

Jul 16, 2006

Last updated

Oct 21, 2016By the provider in NPPES

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

81.87 of 100Reported as group

Quality

64.75

Promoting interoperability

100

Improvement activities

40

Cost

74.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baptist Memorial Medical Group Inc

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1306089206

  MS, Surgery

  Medicare reassignment NPD
• Columbus Surgery Associates

  • Surgery Physician
  • Columbus, MS
  • NPI 1508883539
  NPD (past) Authorized official
• Jerry L. Stennet, M.D. PA D/B/a Columbus Surgery

  • Surgery Physician
  • Columbus, MS
  • NPI 1275719114
  Authorized official Same address or phone
• Baptist Memorial Medical Group Inc

  dba BMG East Memphis Pharmacy

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1841006129
  NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1467479485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BAPTIST BLVD",
            "address_2": "STE 407",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052011",
            "telephone_number": "662-241-4223",
            "fax_number": "662-241-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENNETT",
        "first_name": "JERRY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "7718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00010424",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Sickroom Supply
• Sparrows United Transportation
• Kimberly Sprouse, FNP-C
• John Stanback, MD
• John W. Starr Jr., DMD
• Maria M Stephens, CFNP
• Steven M. Porter, DDS (Porter, Singley, & Crane Family Dentistry)
• Kimberly Stewart
• Marion Stewart, FNP-C
• Priscilla Stewart, MSW

• Surgery Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.