Individual provider Active NPI

James D. Edmonson, M.D.

  • Surgery Physician
  • Corinth, MS
National Provider Identifier
1689617664
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
13579 Issued in MS
Practice address
2429 Proper St
Corinth, MS 38834-5394
Phone
(662) 286-3735
Fax
(662) 286-3721
NPI assigned
Jun 14, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 13579 MS Primary

Addresses

Primary practice location

2429 Proper St
Corinth, MS 38834-5394

Mailing address

2429 Proper St
Corinth, MS 38834-5394
Phone (662) 286-3735

Other identifiers 6

IdentifierTypeStateIssuer
157866OtherTNUNISON
12658OtherTNTLC
3729733MedicaidTN
3104220OtherTNBCBS
26282OtherTNVESTICA
0114762MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000792 MS Practitioner - General Surgery 6103875497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Tennessee, HSC, College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2429 Proper St
Corinth, MS 38834-5394
Phone (662) 286-3735

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy68
Hernia repair - groin (open)1-10
Pacemaker insertion or repair1-10
Upper gastrointestinal (GI) endoscopy for acid reflux137
Melanoma (skin cancer) excision1-10
Removal of tissue16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13579MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tippah County Hospital CurrentSince Nov 1, 2022 Accepting new patients
Corinth Pulmonary Clinic and Rehabilitation, PA Single Specialty Current Accepting new patients
Corinth Surgical Clinic, P.a. Specialist CurrentSince Jun 1, 1998 Accepting new patients
Tippah County Hospital CurrentSince Nov 1, 2022 Accepting new patients
Tippah County Hospital Past Accepting new patients

Locations

2429 Proper St
Corinth, MS 38834
Phone (662) 284-9502

703 Alcorn Dr
Ste 111
Corinth, MS 38834
Phone (662) 286-1901

1005 City Ave N
Ripley, MS 38663
Phone (601) 837-9221

705 E Poplar Ave
Ste 2000
Selmer, TN 38375
Phone (731) 646-2181

Interoperability endpoints

  • Direct secure messaging: corinthsurgicalclinic.jamesedmonson@147032.advancedmd-direct.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1689617664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 PROPER ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345394",
            "telephone_number": "662-286-3735",
            "fax_number": "662-286-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 PROPER ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345394",
            "telephone_number": "662-286-3735",
            "fax_number": "662-286-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONSON",
        "first_name": "JAMES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-09-29",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "13579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "157866",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "12658",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729733",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3104220",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VESTICA",
            "identifier": "26282",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114762",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.