John Jarrett Corley, MD
Individual provider Active NPI Surgery Physician · Jackson, MS
NPI 1619130952 · NPPES record last updated May 27, 2015
Key facts
- NPI
- 1619130952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 23043 (MS)
- Practice address
- 501 Marshall St Ste 500
Jackson, MS 39202-1615 - Phone
- (601) 948-1411
- NPI assigned
- Jul 7, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Alabama School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Birmingham Surgical, P.C.
Practice addresses (Care Compare)
2022 Brookwood Med Ctr Dr
Birmingham, AL 35209-6807
Phone (205) 877-2910
Hospital & facility affiliations
- Baptist Health Brookwood Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170907001144 | AL | Practitioner - General Surgery |
0042521593 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Surgical, P.C. | Surgery | Current |
Accepting new patients |
Locations
2022 Brookwood Medical Ctr Dr
Ste 313
Birmingham, AL 35209
Phone (205) 877-2767
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
513 Brookwood Blvd
Ste 360
Homewood, AL 35209
Phone (205) 877-2876
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 23043 | MS | Yes |
Addresses
Primary practice location
501 Marshall St Ste 500
Jackson, MS 39202-1615
Mailing address
306 Autumn Crest Dr
Ridgeland, MS 39157-2603
Other providers in Jackson, MS
- Jesse Olson Coppenbarger
- Collin Corales
- Brynn Corbello
- Dawson Clay Cork
- Latanya Cork
- Mary Kinney Lowe Corley
- Z'Carra Jermyce Corner
- Cornerstone Caregiving East LLC
- Cornerstone Palliative and Hospice, LLC
- Rona Correll
All providers in Jackson, MS · Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.