Organization Active NPI

Dearman Medical Group, LLC

  • Family Medicine Physician
  • Laurel, MS
National Provider Identifier
1609531276
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DEARMAN MEDICAL GROUP, LLC
Practice address
30 Circle J Dr Ste 1
Laurel, MS 39440-1981
Phone
(601) 425-0092
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Kaye D Jones
Title
Member
Phone
(601) 425-0092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

30 Circle J Dr Ste 1
Laurel, MS 39440-1981

Mailing address

30 Circle J Dr Ste 3
Laurel, MS 39440-1981
Phone (601) 425-1662

Other practice location 1

2680 Highway 15
Bay Springs, MS 39422-7429
Phone (601) 764-6972

Other practice location 2

85 Hal Crocker Rd
Ellisville, MS 39437-2088
Phone (601) 719-0092

Other practice location 3

1208 Academy Dr
Heidelberg, MS 39439-3288
Phone (601) 787-4906

Other practice location 4

235 S 14th Ave
Laurel, MS 39440-4227
Phone (601) 651-2830

Other names 1

  • Jones Family Medicine Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

30 Circle J Dr
Ste 3
Laurel, MS 39440
Phone (601) 425-2608

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1609531276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CIRCLE J DR STE 3",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401981",
            "telephone_number": "601-425-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CIRCLE J DR STE 1",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401981",
            "telephone_number": "601-425-0092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2680 Highway 15",
            "address_purpose": "LOCATION",
            "city": "Bay Springs",
            "state": "MS",
            "postal_code": "394227429",
            "country_code": "US",
            "telephone_number": "601-764-6972",
            "fax_number": "601-764-6975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Hal Crocker Rd",
            "address_purpose": "LOCATION",
            "city": "Ellisville",
            "state": "MS",
            "postal_code": "394372088",
            "country_code": "US",
            "telephone_number": "601-719-0092",
            "fax_number": "601-719-0473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1208 Academy Dr",
            "address_purpose": "LOCATION",
            "city": "Heidelberg",
            "state": "MS",
            "postal_code": "394393288",
            "country_code": "US",
            "telephone_number": "601-787-4906",
            "fax_number": "601-787-4909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 S 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394404227",
            "country_code": "US",
            "telephone_number": "601-651-2830",
            "fax_number": "601-651-2835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEARMAN MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-425-0092"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jones Family Medicine Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jones Family Medicine Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.