Individual provider Active NPI

Stephen Charles James, M.D.

  • Psychiatry Physician
  • Gulfport, MS
National Provider Identifier
1699886176
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21718 Issued in MS
Practice address
1340 Broad Ave
Suite 410
Gulfport, MS 39501-2404
Phone
(228) 867-5202
Fax
(228) 867-5007
NPI assigned
Aug 31, 2006
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21718 MS Primary

Addresses

Primary practice location

1340 Broad Ave
Suite 410
Gulfport, MS 39501-2404

Mailing address

11150 Highway 49
Gulfport, MS 39503-4110
Phone (228) 867-5202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111109000017 MS Practitioner - PsychiatryPractitioner - Anesthesiology 8729079959 Reassigns benefits to 3 organizations
I20240417000781 FL Practitioner - Psychiatry 8729079959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northwestern University Feinberg Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hakuna Matata Psychiatry Services PLLCGroup PAC ID 1153651377, 26 clinicians
Gulf Coast Neurospa LLCGroup PAC ID 5092184622, 3 clinicians

Practice addresses (Care Compare)

601 E Rollins St
Orlando, FL 32803-1248
Phone (850) 687-5990

8845 Lorraine Rd
Gulfport, MS 39503-5042
Phone (228) 277-1771

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TBD Acquisition II, LLC CurrentSince Dec 1, 2017 Accepting new patients
Gulf Coast Neurospa LLC Psychiatry CurrentSince Jul 29, 2024 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Hakuna Matata Psychiatry Services PLLC Psychiatry CurrentSince May 1, 2025 Accepting new patients
TBD Acquisition II LLC CurrentSince Dec 1, 2017 Accepting new patients

Locations

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

127 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 906-5092

11150 Highway 49
Gulfport, MS 39503
Phone (228) 575-1000

1340 Broad Ave
Ste 410
Gulfport, MS 39501
Phone (228) 575-1775

8845 Lorraine Rd
Gulfport, MS 39503
Phone (228) 277-1771

1019 Government St
Ste E
Ocean Springs, MS 39564
Phone (228) 277-1771

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sjames@direct.mhg.com

Organizations & group practices 6

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 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1699886176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034110",
            "telephone_number": "228-867-5202",
            "fax_number": "228-867-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BROAD AVE",
            "address_2": "SUITE 410",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012404",
            "telephone_number": "228-867-5202",
            "fax_number": "228-867-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "STEPHEN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "21718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.