Individual provider Active NPI

James J Blount III, MD

  • Obstetrics & Gynecology Physician
  • Picayune, MS
National Provider Identifier
1992793897
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15547 Issued in MS
Practice address
128 Highland Pkwy
Suite 202
Picayune, MS 39466-5577
Phone
(601) 798-3989
Fax
(601) 798-5914
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
I20081209000037 MS Practitioner - Obstetrics/Gynecology 8921169046 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15547MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Community Hospital Physicians Obstetrics & Gynecology CurrentSince Nov 3, 2012 Accepting new patients
James J. Blount, III, MD Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients

Locations

128 Highland Pkwy
Ste 202
Picayune, MS 39466
Phone (601) 358-9422

146 Highland Pkwy
Ste C
Picayune, MS 39466
Phone (601) 358-9765

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 15547 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

128 Highland Pkwy
Suite 202
Picayune, MS 39466-5577

Mailing address

128 Highland Pkwy
Suite 202
Picayune, MS 39466-5577
Phone (601) 798-3989

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0118379MedicaidMS
1979694MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2014.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1992793897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 HIGHLAND PKWY",
            "address_2": "SUITE 202",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665577",
            "telephone_number": "601-798-3989",
            "fax_number": "601-798-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HIGHLAND PKWY",
            "address_2": "SUITE 202",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665577",
            "telephone_number": "601-798-3989",
            "fax_number": "601-798-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "15547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118379",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1979694",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

Verify at the official NPI Registry.