Individual provider Active NPI

Jing-Yuan Ma, M.D.

  • Cardiovascular Disease Physician
  • Jackson, MS
National Provider Identifier
1831532746
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
26752 Issued in MS
Practice address
970 Lakeland Dr Ste 61
Jackson, MS 39216
Phone
(601) 982-7850
Fax
(601) 366-8507
NPI assigned
Apr 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD044412 DC
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 26752 MS Primary

Addresses

Primary practice location

970 Lakeland Dr Ste 61
Jackson, MS 39216

Mailing address

970 Lakeland Dr Ste 61
Jackson, MS 39216-4682
Phone (601) 982-7850

Other practice location 1

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-2000

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL NextGen
Direct Messaging Address jingyuan.ma.p1@direct.jacksonheart.nextgenshare.com

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190618001163 MS Practitioner - Cardiovascular Disease (Cardiology) 8123246295 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Dominic Jackson MemorialGroup PAC ID 4385531847, 56 clinicians
Jackson Heart Clinic. P.a.Group PAC ID 0547204091, 40 clinicians

Practice addresses (Care Compare)

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 364-6175

970 Lakeland Dr
Suite 61
Jackson, MS 39216-4634
Phone (601) 982-7850

Hospital & facility affiliations

  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
  • Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099
  • Mississippi Methodist Rehab Ctr Hospital, Jackson, MS, CCN 250152

Merit-based Incentive Payment System (MIPS)

Final score
86.07 of 100Reported as group
Quality
74.67
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044412DCMDCardiovascular Disease Physician
26752MSMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Leflore Hospital Single Specialty CurrentSince Sep 25, 2023 Accepting new patients
Jackson Heart Clinic. P.a. Single Specialty CurrentSince Jul 3, 2019 Accepting new patients
St Dominic Hospital Crna'S Single Specialty CurrentSince Jul 3, 2019 Accepting new patients
St. Dominic Jackson Memorial Single Specialty CurrentSince Jul 3, 2019 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Single Specialty CurrentSince Sep 25, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients

Locations

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

970 Lakeland Dr
Ste 61
Jackson, MS 39216
Phone (601) 200-2780

326 Commerce Center Dr
Ste 2000
Ridgeland, MS 39157

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1831532746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 LAKELAND DR STE 61",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164682",
            "telephone_number": "601-982-7850",
            "fax_number": "601-366-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 LAKELAND DR STE 61",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-982-7850",
            "fax_number": "601-366-8507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164606",
            "country_code": "US",
            "telephone_number": "601-200-2000",
            "fax_number": "601-200-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MA",
        "first_name": "JING-YUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD044412",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "26752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NextGen",
            "affiliation": "N",
            "address_1": "970 Lakeland Dr Ste 61",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392164682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jingyuan.ma.p1@direct.jacksonheart.nextgenshare.com",
            "affiliation": "N",
            "address_1": "970 Lakeland Dr Ste 61",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.