John E. Mann Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05295 Issued in MS

Practice address

1106 Central Dr
Philadelphia, MS 39350-8972

Phone

(601) 656-6921

Fax

(601) 656-0381

NPI assigned

Nov 19, 2005

Last updated

Mar 17, 2018By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Neshoba County General Hospital

  dba Neshoba County General Hospital Radiology Pro Fees

  • Diagnostic Radiology Physician
  • Philadelphia, MS
  • NPI 1013382308
  NPD (past)
• Neshoba Physician Billing Service

  • Multi-Specialty Clinic/Center
  • Philadelphia, MS
  • NPI 1841404985
  NPD (past)

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922080316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2106",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393022106",
            "telephone_number": "601-703-4282",
            "fax_number": "601-703-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CENTRAL DR",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393508972",
            "telephone_number": "601-656-6921",
            "fax_number": "601-656-0381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Central Dr",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "MS",
            "postal_code": "393508972",
            "country_code": "US",
            "telephone_number": "601-656-6821",
            "fax_number": "601-656-0381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "JOHN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "05295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "288056YJ8J",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080121055",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110589",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Line Street Medical, LLC
• Beth Long
• Louisville Medical Supply Inc (Philadelphia Medical Supply Inc)
• Jerry Lovorn, MA, LPC.
• Betsy L Mann, FNP
• Mapp Home Care Services
• Jonathan William Marks, MD
• Linus Martin, M.D.
• William Craig Martin, D.M.D.
• Michele Maxey, PT

• Family Medicine Physician in Philadelphia, MS
• Providers in Philadelphia, 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 Mar 17, 2018; 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.