Active NPI
Elvis Jeff Justis Jr., MD
- Orthopaedic Hand Surgery Physician
- Oxford, MS
National Provider Identifier
1598045775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 11939
- Practice address
- 710 Longmeadow Drive
Oxford, MS 38655 - Phone
- (662) 236-2940
- Fax
- (662) 236-2940
- NPI assigned
- Aug 19, 2011
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 11939 | MS | Primary |
Addresses
Primary practice location
710 Longmeadow Drive
Oxford, MS 38655
Mailing address
710 Longmeadow Drive
Oxford, MS 38655
Phone (662) 236-2940
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11939 | MS | MD | Orthopaedic Hand Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1598045775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 LONGMEADOW DRIVE",
"city": "OXFORD",
"state": "MS",
"postal_code": "38655",
"telephone_number": "662-236-2940",
"fax_number": "662-236-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 LONGMEADOW DRIVE",
"city": "OXFORD",
"state": "MS",
"postal_code": "38655",
"telephone_number": "662-236-2940",
"fax_number": "662-236-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTIS",
"first_name": "ELVIS",
"middle_name": "JEFF",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MS",
"license": "11939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.