Active NPI
Dearman Medical Group, LLC
- Family Medicine Physician
- Laurel, MS
National Provider Identifier
1609531276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.