Kenneth P Toler Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

13218 Issued in MS

Practice address

1200 N State St
Ste 330
Jackson, MS 39202-2027

Phone

(601) 353-2020

Fax

(601) 714-5110

NPI assigned

Jun 17, 2005

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 2

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

Specialty

Ophthalmology

Education

University of Mississippi School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Eye Associates PLLCGroup PAC ID 2264320662, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Neshoba County General Hospital Hospital, Philadelphia, MS, CCN 251340
• Neshoba County General Hospital Hospital, Philadelphia, MS, CCN 250043
• S E Lackey Memorial Hospital Hospital, Forest, MS, CCN 251300

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kennethtoler@direct-address.net
• FHIR API: https://app.meldrx.com/api/fhir/t7g8d1e4
• Direct secure messaging: kentoler@neshobahealth.cernerdirect.com

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.

• Jackson Eye Associates PLLC

  • Ophthalmology Physician
  • Madison, MS
  • NPI 1164428868
  Medicare reassignment Care Compare group NPD
• Neshoba County General Hospital

  • Critical Access Hospital
  • Philadelphia, MS
  • NPI 1083659734
  NPD

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

• Independent Healthcare Management, Inc.

  • Critical Access Hospital
  • Forest, MS
  • NPI 1306909734
  Care Compare affiliation
• Neshoba County General Hospital

  • Critical Access Hospital
  • Philadelphia, MS
  • NPI 1083659734
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1841295573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "STE 330",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022027",
            "telephone_number": "601-353-2020",
            "fax_number": "601-714-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "STE 330",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022027",
            "telephone_number": "601-353-2020",
            "fax_number": "601-714-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 N State St",
            "address_2": "Ste 403",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022413",
            "country_code": "US",
            "telephone_number": "601-353-2020 x138",
            "fax_number": "601-714-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLER",
        "first_name": "KENNETH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "13218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009976275",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115308",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daphne Felicia Todd, NP-C
• Lawren E Todd, PT, DPT
• Jessica M Tolar, FNP-C
• Bernice Y Tolbert
• Charles Culley Tolbert, DMD
• Noel K. Toler Jr., D.D.S., P.A.
• Noel K. Toler III, D.M.D.
• Brian J Tollefson, M.D.
• Barbara Ann Tolleson, CFNP
• Maharaj Alejandro Tomar, MD

• Ophthalmology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.