Individual provider Active NPI

David Jameson, MD

  • Family Medicine Physician
  • Tylertown, MS
National Provider Identifier
1982669636
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12510 Issued in MS
Practice address
110 Franklinton St
Tylertown, MS 39667-2736
Phone
(601) 876-9330
NPI assigned
Apr 18, 2006
Last updated
Jan 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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 12510 MS Primary

Addresses

Primary practice location

110 Franklinton St
Tylertown, MS 39667-2736

Mailing address

110 Franklinton St
Tylertown, MS 39667-2736
Phone (601) 876-9330

Other identifiers 1

IdentifierTypeStateIssuer
00117160MedicaidMS

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
I20051110000174 MS Practitioner - Family Practice 8628096401 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covington County HospitalGroup PAC ID 4183517253, 44 clinicians

Practice addresses (Care Compare)

1039 Hwy 42
Suite 3
Sumrall, MS 39482-4478
Phone (769) 307-6995

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Covington County Hospital CurrentSince Feb 1, 2025 Accepting new patients
Medical Services of Meridian, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Feb 15, 2019 Accepting new patients
Quad Intermed Company LLC CurrentSince Aug 1, 2023 Accepting new patients
Quad Intermed Company LLC CurrentSince Aug 1, 2023 Accepting new patients
Covington County Hospital Current Accepting new patients
Covington County Hospital CurrentSince Feb 1, 2025 Accepting new patients
Quad Intermed Company LLC Current Accepting new patients
QHG of Hattiesburg Inc Past Accepting new patients
Pine Belt Anesthesia, LLC Past Accepting new patients

Locations

3275 Highway 49
Ste E
Collins, MS 39428
Phone (601) 765-6292

701 S Holly Ave
Collins, MS 39428
Phone (601) 765-3180

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

1515 Jefferson St
Laurel, MS 39440
Phone (601) 425-4893

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

342 Gilchrist Dr
Pearl, MS 39208
Phone (601) 939-0700

1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947

308 Corporate Dr
Ridgeland, MS 39157
Phone (601) 898-7500

1039 Highway 42
Ste 3
Sumrall, MS 39482
Phone (601) 837-6883

4204 Clay St
Vicksburg, MS 39183
Phone (601) 200-4560

4204 Clay St
#V
Vicksburg, MS 39183
Phone (601) 619-7717

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e

Organizations & group practices 10

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 1

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1982669636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FRANKLINTON ST",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672736",
            "telephone_number": "601-876-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FRANKLINTON ST",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672736",
            "telephone_number": "601-876-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "12510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117160",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tylertown, MS

Sources for this page

Verify at the official NPI Registry.