James Patrick McDavid, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R853802 Issued in MS

Practice address

1421 N State St
Suite 203
Jackson, MS 39202-1658

Phone

(601) 355-1234

Fax

(601) 326-3537

NPI assigned

Jul 20, 2006

Last updated

Feb 16, 2011By 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

Nurse Practitioner

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.

• Emergency Medicine Associates of Jackson

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1043315906
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1871513085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 N STATE ST",
            "address_2": "SUITE 203",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021658",
            "telephone_number": "601-355-1234",
            "fax_number": "601-326-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N STATE ST",
            "address_2": "SUITE 203",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021658",
            "telephone_number": "601-355-1234",
            "fax_number": "601-326-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDAVID",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R853802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124303",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Eden McDaniel, CPNP-AC
• Jordan Alyse Healy McDaniel
• Kassia Ellen McDaniel, ACNP-BC
• Kori McDaniel, D.O.
• Patrick McDaniel, MD
• Reagan Paige McDevitt
• Ashley Anne McDonald, AU.D.
• Corneisha McDonald, LPN
• Imari McDonald, LPC
• Irvin Cordell McDonald, NP

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.