NPIMap

Individual provider Active NPI

Jennifer Thompson-Davis, MD

  • Family Medicine Physician
  • New Albany, MS
National Provider Identifier
1639350150
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19791 Issued in MS
Practice address
400 Doctors Dr
New Albany, MS 38652-3109
Phone
(662) 534-5036
Fax
(662) 534-9696
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19791 MS Primary

Addresses

Primary practice location

400 Doctors Dr
New Albany, MS 38652-3109

Mailing address

400 Doctors Dr
New Albany, MS 38652-3109
Phone (662) 534-5036

Other identifiers 1

IdentifierTypeStateIssuer
19791OtherMSLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080722000385 MS Practitioner - Family PracticePractitioner - Emergency Medicine 8527131747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Medical Clinics IncGroup PAC ID 6103736665, 120 clinicians

Practice addresses (Care Compare)

1771 Curtis Dr
Iuka, MS 38852-1001
Phone (662) 423-6014

Hospital & facility affiliations

  • North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • Tishomingo Health Services Inc Hospital, Iuka, MS, CCN 250002
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Tishomingo Comm Living Center Nursing home, Iuka, MS, CCN 255127
  • Tishomingo Health Services Inc Nursing home, CCN 25U002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tishomingo Health Services, Inc. Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Tishomingo Health Services, Inc. CurrentSince Oct 30, 2014 Accepting new patients
North Mississippi Medical Clinics Inc Family Medicine CurrentSince Aug 1, 2008 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Aug 1, 2008 Accepting new patients
Tishomingo Health Services, Inc. CurrentSince Oct 30, 2014 Accepting new patients
CLC of Iuka, LLC Past Accepting new patients
Chickasaw Emergency Group LLC Past Accepting new patients
Southern Health Corp. of Houston, Inc Past Accepting new patients

Locations

26 3rd St
Belmont, MS 38827
Phone (662) 454-4520

1771 Curtis Dr
Iuka, MS 38852
Phone (662) 423-6014

400 Doctors Dr
New Albany, MS 38652
Phone (662) 534-5036

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: jenniferthompsondavis@nmhs.medalliesdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1639350150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DOCTORS DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523109",
            "telephone_number": "662-534-5036",
            "fax_number": "662-534-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DOCTORS DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523109",
            "telephone_number": "662-534-5036",
            "fax_number": "662-534-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-DAVIS",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "19791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "19791",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.