Darley Jelgin Solomon Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

14727 Issued in MS

Practice address

825 W Monroe St
Suite 1
Grenada, MS 38901-5042

Phone

(662) 227-9091

Fax

(662) 227-0710

NPI assigned

Feb 7, 2007

Last updated

Sep 15, 2008By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Darley J Solomon Jr MD PC

  • Surgery Physician
  • Grenada, MS
  • NPI 1629250568
  NPD (past)
• Premier Medical Group of Mississippi LLC

  dba Jackson Medical Clinic LLC

  • Clinic/Center
  • Jackson, MS
  • NPI 1548219884
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1700926797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389021359",
            "telephone_number": "662-227-9091",
            "fax_number": "662-227-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W MONROE ST",
            "address_2": "SUITE 1",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015042",
            "telephone_number": "662-227-9091",
            "fax_number": "662-227-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "DARLEY",
        "middle_name": "JELGIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "14727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01525581",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Edward Seibel Jr., MD
• Debra H Simmons, RNC
• Harold David Simmons, MD
• Kaleb Smith, DNP, CRNA
• Olivia Carpenter Smith
• Dion T Sones
• Southern Hospitality Adult Daycare, LLC
• Southside Medical Clinic, LLC (Southside Medical Clinic)
• Tonesha Spearman, RN
• Speech Pathology Services

• Surgery Physician in Grenada, MS
• Providers in Grenada, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.