James Shields McIlwain Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05465 Issued in MS

Practice address

385B Highland Colony Pkwy
Suite 504
Ridgeland, MS 39157-6043

Phone

(601) 957-1575

NPI assigned

Feb 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770618621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 DUNTON RD",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564305",
            "telephone_number": "601-924-9167",
            "fax_number": "601-956-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385B HIGHLAND COLONY PKWY",
            "address_2": "SUITE 504",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576043",
            "telephone_number": "601-957-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILWAIN",
        "first_name": "JAMES",
        "middle_name": "SHIELDS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "05465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laquita McGee
• Dorothy J McGill, PHD, LCMHT
• Jennifer Kate McGowen, PTA
• Laney McGuffee
• Christy McHenry
• Nathan Philip McIntosh, M.D.
• Troy A McIntyre, PT
• Candi Michelle McKenzie, PTA
• Megan Elise McKenzie
• McKinley's Care LLC

• Family Medicine Physician in Ridgeland, MS
• Providers in Ridgeland, 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 Jul 8, 2007; 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.