NPIMap

Individual provider Active NPI

Jessie G. Harvey, M.D.

  • Internal Medicine Physician
  • Jackson, MS
National Provider Identifier
1982991436
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23269 Issued in MS
Practice address
2500 N State St
Dept. of Medicine
Jackson, MS 39216-4500
Phone
(601) 984-5601
Fax
(601) 984-6665
NPI assigned
Jul 6, 2011
Last updated
Apr 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T-2443 MS
Internal Medicine Physician 207R00000X 23269 MS Primary

Addresses

Primary practice location

2500 N State St
Dept. of Medicine
Jackson, MS 39216-4500

Mailing address

2500 N State St
Dept. of Medicine
Jackson, MS 39216-4500
Phone (601) 984-5601

Other identifiers 1

IdentifierTypeStateIssuer
08625510MedicaidMS

Other names 1

  • Jessie G. Harveston Other name

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
I20140911001586 MS Practitioner - Internal Medicine 8729207451 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

161 River Oaks Dr
Canton, MS 39046-5375
Phone (601) 855-4000

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-6441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23269MSMDInternal Medicine Physician
T-2443MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 1, 2014 Accepting new patients
Magee Benevolent Association Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 1, 2014 Accepting new patients
South Central Regional Medical Center CurrentSince May 15, 2025 Accepting new patients
Copiah County Medical Center CurrentSince Nov 8, 2023 Accepting new patients
South Central Regional Medical Center CurrentSince May 15, 2025 Accepting new patients
Greenwood Leflore Hospital CurrentSince Dec 11, 2023 Accepting new patients
Copiah County Medical Center CurrentSince Nov 8, 2023 Accepting new patients

Locations

1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

300 SE 3rd Ave
Magee, MS 39111
Phone (601) 849-5070

Organizations & group practices 8

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 5

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1982991436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPT. OF MEDICINE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5601",
            "fax_number": "601-984-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPT. OF MEDICINE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5601",
            "fax_number": "601-984-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JESSIE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T-2443",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "23269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08625510",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "HARVESTON",
            "middle_name": "G.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.