Active NPI
Jawauna Stewart, M.D.
- Hospitalist Physician
- Hattiesburg, MS
National Provider Identifier
1598077034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 22576
- Practice address
- 113 Brookwood Ter
Hattiesburg, MS 39402-1903 - Phone
- (601) 329-6557
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22576 | MS | |
| Hospitalist Physician | 208M00000X | 22576 | MS | Primary |
Addresses
Primary practice location
113 Brookwood Ter
Hattiesburg, MS 39402-1903
Mailing address
113 Brookwood Ter
Hattiesburg, MS 39402-1903
Phone (601) 329-6557
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5257781 | Other | MS | AETNA |
| 00402760 | Medicaid | MS | |
| 3631567 | Other | MS | UNITED HEALTHCARE |
| 7348656 | Other | MS | CIGNA |
Other names 1
- Ms. Jawauna Faulkner
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jstewart35846@directpatientrecord.com | Health Information Exchange (HIE) |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22576 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrest County General Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients |
Locations
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
801 Goodyear Blvd
Picayune, MS 39466
Phone (601) 749-0688
Organizations & group practices 4
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.
-
- Psychiatric Hospital Unit
- Hattiesburg, MS
- NPI 1295837631
-
- Multi-Specialty Clinic/Center
- Hattiesburg, MS
- NPI 1740213446
-
- Rural Health Clinic/Center
- Picayune, MS
- NPI 1043820426
-
- Rural Health Clinic/Center
- Picayune, MS
- NPI 1790361509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1598077034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 BROOKWOOD TER",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021903",
"telephone_number": "601-329-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 BROOKWOOD TER",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021903",
"telephone_number": "601-329-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JAWAUNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "22576",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MS",
"license": "22576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5257781",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00402760",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3631567",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7348656",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jstewart35846@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "415 S 28th Ave",
"city": "Hattiesburg",
"state": "MS",
"country_code": "US",
"postal_code": "394017246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JAWAUNA",
"last_name": "FAULKNER",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.