NPIMap

Individual provider Active NPI

Jewell Jackson Huffman III, M.D.

  • Family Medicine Physician
  • Eupora, MS
National Provider Identifier
1962532929
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20352 Issued in MS
Practice address
1301 Veterans Memorial Blvd
Eupora, MS 39744-2064
Phone
(662) 258-7200
Fax
(662) 258-5871
NPI assigned
Mar 7, 2007
Last updated
Jan 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20352 MS Primary

Addresses

Primary practice location

1301 Veterans Memorial Blvd
Eupora, MS 39744-2064

Mailing address

1301 Veterans Memorial Blvd
Eupora, MS 39744-2064
Phone (662) 258-7200

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
I20080924000514 MS Practitioner - Family Practice 2769559293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webster Health Services IncGroup PAC ID 6901892421, 18 clinicians
Dobbs Emergency Group, LLCGroup PAC ID 2860723731, 11 clinicians

Practice addresses (Care Compare)

1301 Veterans Memorial Blvd
Eupora, MS 39744-2064
Phone (662) 258-7200

140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20352MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dobbs Emergency Group, LLC CurrentSince Jun 6, 2023 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Southern Health Corp. of Houston, Inc Past Accepting new patients
Diversicare of Eupora, LLC Past Accepting new patients
Webster Health Services, Inc. Past Accepting new patients

Locations

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

Interoperability endpoints

  • Direct secure messaging: jewell.huffman.1@11573.direct.athenahealth.com
  • Direct secure messaging: jewellhuffman@nmhs.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1962532929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 VETERANS MEMORIAL BLVD",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397442064",
            "telephone_number": "662-258-7200",
            "fax_number": "662-258-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 VETERANS MEMORIAL BLVD",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397442064",
            "telephone_number": "662-258-7200",
            "fax_number": "662-258-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "JEWELL",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "20352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eupora, MS

Sources for this page

Verify at the official NPI Registry.