Organization Active NPI

James S. Brown, III, M. D. PLLC

  • Ophthalmology Physician
  • Starkville, MS
National Provider Identifier
1689703324
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16037 Issued in MS
Legal business name
JAMES S. BROWN, III, M. D. PLLC
Practice address
100 Walker Way
Starkville, MS 39759-6607
Phone
(662) 320-6555
NPI assigned
Mar 5, 2007
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Dr. James Samuel Brown III, M.D.NPI 1336231489
Title
Owner
Phone
(662) 320-6555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 16037 MS Primary

Addresses

Primary practice location

100 Walker Way
Starkville, MS 39759-6607

Mailing address

PO Box 1368
Starkville, MS 39760-1368
Phone (662) 320-6555

Other identifiers 2

IdentifierTypeStateIssuer
09016143MedicaidMS
425085737OtherMSBLUE CROSS OF MS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050923000488 MS Part B Supplier - Clinic/Group Practice 0446284921 Receives reassigned benefits from 3 practitioners
Practice locations: Starkville, MS
O20100930024491 MS DME Supplier - Physician - Optometrist 0446284921 Practice locations: Starkville, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2065044James S Brown, III, MD, PLLC100 Walker Way, Starkville, MS 39759Certificate of waiverSep 2, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
James S. Brown, LLL, M. D. PLLC100 Walker Way, Starkville, MS 39759-6607(662) 320-6555 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 1, 2001

National Provider Directory

National Provider Directory

Locations

100 Walker Way
Starkville, MS 39759
Phone (662) 320-6555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1689703324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397601368",
            "telephone_number": "662-320-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALKER WAY",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397596607",
            "telephone_number": "662-320-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES S. BROWN, III, M. D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-320-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "16037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016143",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MS",
            "identifier": "425085737",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.