Individual provider Active NPI

James Erik Cooksey, FNP

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1497241285
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902783 Issued in MS
Practice address
1312 22ND Ave
Meridian, MS 39301
Phone
(601) 282-1424
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902783 MS Primary

Addresses

Primary practice location

1312 22ND Ave
Meridian, MS 39301

Mailing address

3408 49TH CT
Meridian, MS 39305-1559

Other practice location 1

908 Municipal Dr
Brandon, MS 39042-2973
Phone (769) 241-1600

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181221000655 MS Practitioner - Nurse Practitioner 6709121619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E. M. Dimitri, D.O. PMC.Group PAC ID 4284722059, 14 clinicians

Practice addresses (Care Compare)

1312 22ND Ave
Suite a
Meridian, MS 39301-4015
Phone (601) 702-2220

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902783MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E. M. Dimitri, D.O. PMC CurrentSince Mar 5, 2020 Accepting new patients
Signify Health, LLC CurrentSince Apr 15, 2023 Accepting new patients

Locations

300 Gateway Dr
Slidell, LA 70461
Phone (985) 643-4512

151 Thames Ave
Bay St Louis, MS 39520
Phone (228) 467-1320

908 Municipal Dr
Brandon, MS 39042
Phone (601) 825-2150

431 Security Sq
Ste 433
Gulfport, MS 39507

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

1312 22nd Ave
Ste A
Meridian, MS 39301
Phone (504) 465-4550

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1497241285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 49TH CT",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 22ND AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-282-1424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Municipal Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390422973",
            "country_code": "US",
            "telephone_number": "769-241-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKSEY",
        "first_name": "JAMES",
        "middle_name": "ERIK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.