NPIMap

Individual provider Active NPI

James C Johnson Jr., MD

  • Cardiovascular Disease Physician
  • Tupelo, MS
National Provider Identifier
1821180514
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
14408 Issued in MS
Practice address
499 Gloster Creek VLG Ste A2
Cardiology Associates of North Ms
Tupelo, MS 38801-4749
Phone
(662) 620-6800
Fax
(662) 662-6920
NPI assigned
Sep 29, 2006
Last updated
Jun 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 14408 MS Primary

Addresses

Primary practice location

499 Gloster Creek VLG Ste A2
Cardiology Associates of North Ms
Tupelo, MS 38801-4749

Mailing address

499 Gloster Creek VLG Ste A2
Cardiology Associates of North Ms
Tupelo, MS 38801-4749
Phone (662) 620-6800

Other identifiers 1

IdentifierTypeStateIssuer
0121596MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071205000321 MS Practitioner - Cardiovascular Disease (Cardiology) 1052400686 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Mississippi School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Clinics LLCGroup PAC ID 3870773914, 21 clinicians

Practice addresses (Care Compare)

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 620-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Services LLC Current Accepting new patients
North Mississippi Medical Center Services, LLC CurrentSince Jan 28, 2019 Accepting new patients
North Mississippi Clinics LLC Cardiovascular Disease Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Clinics LLC Cardiovascular Disease CurrentSince Mar 21, 2023 Accepting new patients
North Mississippi Clinics LLC Cardiovascular Disease CurrentSince Mar 21, 2023 Accepting new patients
Cardiology Associates of North Ms PA Cardiovascular Disease CurrentSince Nov 28, 2000 Accepting new patients
North Mississippi Medical Center Services LLC CurrentSince Jan 28, 2019 Accepting new patients
Webster Health Services, Inc. Past Accepting new patients
John W. Prather, M.D. Cardiovascular Disease Past Accepting new patients

Locations

2459 5th St N
Columbus, MS 39705
Phone (662) 327-3092

3302 W Linden St
Corinth, MS 38834
Phone (662) 286-6068

616 Alcorn Dr
Corinth, MS 38834
Phone (662) 286-0206

801 Stark Rd
Starkville, MS 39759
Phone (662) 324-1475

499 Gloster Creek Vlg
Ste A2
Tupelo, MS 38801
Phone (662) 620-6800

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: jamesjohnson@nmhs.medalliesdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1821180514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE A2",
            "address_2": "CARDIOLOGY ASSOCIATES OF NORTH MS",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014749",
            "telephone_number": "662-620-6800",
            "fax_number": "662-662-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE A2",
            "address_2": "CARDIOLOGY ASSOCIATES OF NORTH MS",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014749",
            "telephone_number": "662-620-6800",
            "fax_number": "662-662-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "14408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121596",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.