Marion Jewett Sorrels, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18610 Issued in MS

Practice address

1080 Highway 35 S
Forest, MS 39074-9423

Phone

(601) 469-3555

Fax

(601) 469-3584

NPI assigned

Jun 17, 2006

Last updated

Sep 22, 2015By 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 Osteopathy, Doctor of Medicine

State licenses

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.

• Independent Healthcare Management, Inc.

  dba SE Lackey Memorial Hospital

  • Clinic/Center
  • Forest, MS
  • NPI 1245905405
  NPD (past)
• Venture Hospitalist, LLC

  • Hospitalist Physician
  • Magee, MS
  • NPI 1528560281
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1710922638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2065",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393022065",
            "telephone_number": "601-703-3018",
            "fax_number": "601-703-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 HIGHWAY 35 S",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390749423",
            "telephone_number": "601-469-3555",
            "fax_number": "601-469-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELS",
        "first_name": "MARION",
        "middle_name": "JEWETT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00077331",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey L Shoemaker
• Joseph Andrew Sistrunk, PHARMD
• Small Town Physical Therapy, LLC
• Smilecare PLLC (Forest Metro Dental)
• John B Smith Jr., DMD
• Southern Eye Care of Forest
• Mari-Todd B Stephens, OT
• Natalie R Stevens, OT
• Daniel Stewart
• Sunny Days Homecare

• Family Medicine Physician in Forest, MS
• Providers in Forest, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.