Active NPI
Joanna Diane Bayles, D,I,
- Family Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T-2402
- Practice address
- 878 Lakeland Dr
Jackson, MS 39216-4644 - Phone
- (601) 984-6800
- Fax
- (601) 984-6811
- NPI assigned
- Jul 1, 2011
- Last updated
- Jul 1, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | T-2402 | MS | Primary |
Addresses
Primary practice location
878 Lakeland Dr
Jackson, MS 39216-4644
Mailing address
PO Box 4999
Jackson, MS 39296-4999
Phone (601) 984-5426
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-2402 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients |
Locations
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
149 Drinkwater Rd
Fl 2
Bay St Louis, MS 39520
Phone (228) 395-1255
202B Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 463-9457
4540 Shepherd Sq
Diamondhead, MS 39525
Phone (228) 255-8216
5435 Gex Rd
Diamondhead, MS 39525
Phone (228) 255-8216
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
-
dba Ochsner Urgent Care & Occupational Health - Diamondhead
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309478400000",
"number": "1629365358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4999",
"city": "JACKSON",
"state": "MS",
"postal_code": "392964999",
"telephone_number": "601-984-5426",
"fax_number": "601-984-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "878 LAKELAND DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164644",
"telephone_number": "601-984-6800",
"fax_number": "601-984-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYLES",
"first_name": "JOANNA",
"middle_name": "DIANE",
"credential": "D,I,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2011-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "T-2402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.