Jennifer Stewart Mize, AU.D., CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

A2377 Issued in MS

Practice address

618 Pegram Dr
Tupelo, MS 38801-6322

Phone

(662) 844-3583

Fax

(662) 840-8354

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear, Nose and Throat Physicians of North Miss., P.aGroup PAC ID 8729053343, 22 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.93 of 100Reported as group

Quality

74.06

Promoting interoperability

85

Improvement activities

40

Cost

81.53

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ear, Nose & Throat Physicians of North Miss., P.a.

  • Otolaryngology Physician
  • Tupelo, MS
  • NPI 1861507311
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1699897280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2180",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388032180",
            "telephone_number": "662-844-3583",
            "fax_number": "662-840-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PEGRAM DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016322",
            "telephone_number": "662-844-3583",
            "fax_number": "662-840-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "JENNIFER",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MS",
            "license": "A2377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770450",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mississippi State Department of Health
• Alison Renee Mitchell
• Janice Mitchell, DO
• Kristin Mitchell, M.D.
• Mary Ellen Mitchell, MSN,FNP
• Lori Mize, FNP
• MMSS Ancillary Services Inc
• Pranav Modi, MBBS
• Hollie Dulaney Moffatt, PMHNP-BC
• Rayyan Mohammed, DO

• Audiologist-Hearing Aid Fitter in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Audiologist-Hearing Aid Fitter in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.