Javelyn D Stubbs, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

111394 Issued in MS

Practice address

712 Meadowview Dr
Jackson, MS 39206-4344

Phone

(601) 624-1566

NPI assigned

Jul 28, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1700769874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 MEADOWVIEW DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064344",
            "telephone_number": "601-624-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 MEADOWVIEW DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064344",
            "telephone_number": "601-624-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "JAVELYN",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "111394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Stuart, PTA
• Rachel Lynn Stuart, LPC
• Seth B Stuart, NP
• Graves Crawley Stubblefield Jr., M.D.
• Carla Stubbs
• Jodi M Stubbs, NP
• Laura Stubbs, D.C.
• Lindsey Tatum Stubbs, AGACNP
• Jameika Meshay Stuckey, PHARMD
• Rosemary Stuckey

• General Practice Dentistry in Jackson, MS
• Providers in Jackson, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.