Justin Alan Qualls, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22402 Issued in MS

Practice address

2500 N State St
Jackson, MS 39216-4500

Phone

(601) 985-5532

NPI assigned

Jul 2, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.qualls.1@22854.direct.athenahealth.com

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.

• Independent Healthcare Management, Inc.

  • Critical Access Hospital
  • Forest, MS
  • NPI 1306909734
  Medicare reassignment NPD
• Mississippi Baptist Medical Center, Inc.

  • Neurology Physician
  • Jackson, MS
  • NPI 1467589556
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• Hospitalist Services of Meridian PA

  • Hospitalist Physician
  • Meridian, MS
  • NPI 1639629777
  Medicare reassignment
• Independent Healthcare Management, Inc.

  • Rural Health Clinic/Center
  • Forest, MS
  • NPI 1255376729
  NPD
• Independent Healthcare Management, Inc.

  • Rural Health Clinic/Center
  • Raleigh, MS
  • NPI 1871272724
  NPD
• Mississippi Baptist Medical Center, Inc

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1962523845
  NPD
• Mississippi Baptist Medical Center, Inc.

  • Community/Retail Pharmacy
  • Jackson, MS
  • NPI 1255882890
  NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1669784930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W LAWSON ST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564116",
            "telephone_number": "601-917-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-985-5532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "JUSTIN",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "22402",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "22402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality Solutions Homecare LLC
• Quality Solutions Homecare LLC
• Quality Solutions Homecare LLC
• Quality Solutions Homecare LLC
• Quality Solutions Homecare LLC
• Kemyatta Qualls, REGISTERED NURSE
• Kristen Qualls, PT, DPT
• Amanda Smith Quarles, CFNP
• Quest Diagnostics Clinical Laboratories Inc
• Quest Fitness

• Internal Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.

Verify at the official NPI Registry.