Jodi B Clements, PA
Individual provider Active NPI Physician Assistant · Columbus, MS
NPI 1639657604 · NPPES record last updated Oct 7, 2022
Key facts
- NPI
- 1639657604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA00384 (MS)
- Practice address
- 670 Leigh Dr
Columbus, MS 39705-3014 - Phone
- (662) 328-1012
- Fax
- (662) 328-1507
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of South Alabama College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Columbus Orthopaedic Clinic, P.a.
Practice addresses (Care Compare)
640 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012
670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012
Hospital & facility affiliations
- Centerwell Home Health
- BMH-Golden Triangle
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.02 of 100
- Quality
- 38.91
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 86.15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180820000879 | MS | Practitioner - Physician Assistant | 0648529099 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Columbus Orthopaedic Clinic, P.a. | Past | Accepting new patients |
Interoperability endpoints
- jclements@colortho.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00384 | MS | Yes |
Addresses
Primary practice location
670 Leigh Dr
Columbus, MS 39705-3014
Mailing address
670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05172735 | Medicaid | MS |
Other names
- Jodi Brown
Other providers in Columbus, MS
- Reonee Shanta Clark
- Steven Bradley Clark
- Tavaraes Lashun Clark Jr.
- William Price Clarkson II
- James Carlton Clay
- Miraculas Clemons
- Cluster Assistance Care
- Berrell L Cobb
- Tanya Cockrell
- Michael E Coghlan
All providers in Columbus, MS · Physician Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2022. 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.