Mohamed Bockarie Jah, M.D.
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Meridian, MS
NPI 1477564110 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477564110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 14278 (MS)
- Practice address
- 1201 22ND Ave
Meridian, MS 39301-4010 - Phone
- (601) 484-5811
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080909000613 | TX | Practitioner - Family Practice |
5890731517 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Band of Choctaw Indians | Current |
Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current |
Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current | Accepting new patients | |
| Meridian Hma LLC | Past | Accepting new patients | |
| Meridian Hma LLC | Past | Accepting new patients | |
| Stone County Hospital, Inc | Past | Accepting new patients |
Locations
1930 N Pearl St
Carthage, MS 39051
Phone (601) 287-6639
210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500
376 Campus Rd
Conehatta, MS 39057
Phone (601) 389-4500
124 Big Creek Cir
Philadelphia, MS 39350
Phone (601) 389-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 14278 | MS | Yes |
Addresses
Primary practice location
1201 22ND Ave
Meridian, MS 39301-4010
Mailing address
130 Southpointe Dr # D
Byram, MS 39272-5565
Phone (601) 346-5044
Other providers in Meridian, MS
- Amanda Raye Jackson
- Paige Jackson
- Quiyona Jackson
- Shannon Jackson
- Jacqueline L Pierre OD Faao LLC
- James R. Watson, MD, Orthopedic & Sports Medicine, PLLC
- James W. Hover, DDS, PA
- Rebecca James
- Shazia Javed
- Jeffrey L McGilbra MD PLLC
All providers in Meridian, MS · Geriatric Medicine (Internal Medicine) Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.