JAMES WYATT STEPHENS (NPI# 1326248774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326248774 |
| Entity Type | Individual |
| Full Name | JAMES WYATT STEPHENS |
| Credential | M.D. |
| Practice Address |
128 Courthouse Sq Monticello MS 39654-6014 |
| Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Practice Telephone | 6015870209 |
| Practice Fax Number | 6015870436 |
| Mailing Telephone | 6015870209 |
| Mailing Fax Number | 6015795240 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20322 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05180817 | 05 | |
| MS | AETNA | 9697227 | 01 |
| MS | TRICARE | 262986839 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957363 | James Dylan Stephens | Physician Assistant | 201 Plaza Dr Ste A, Sikeston, MO 63801-5110 | 2018-06-25 |
| 1659584969 | James Eric Stephens | Counselor | 1109 E 52nd St, Chicago, IL 60615-3903 | 2007-05-07 |
| 1790818763 | James Stephens | Specialist | 717 Beechwood Dr, Havertown, PA 19083-2615 | 2007-03-13 |
| 1669553467 | James Drane Stephens | Pharmacist | 5551 S Main St, Eminence, KY 40019-1126 | 2006-10-18 |
| 1043308075 | James Dana Stephens | Dentist | 2875 Middlefield Rd Ste 1, Palo Alto, CA 94306-2548 | 2006-10-11 |
| 1730270281 | James Robert Stephens | Dentist | 612 Red Lane Rd, Birmingham, AL 35215-8236 | 2006-09-28 |
| 1962430793 | James F Stephens | Audiologist | 2413 Robeson Street, Suite 2, Fayetteville, NC 28305 | 2006-06-29 |
| 1750325445 | James Alan Stephens | Counselor | 545 Laurel St, San Diego, CA 92101-1634 | 2006-06-15 |
| 1275506479 | James Anthony Stephens | Specialist | 5233 Dijon Dr, Baton Rouge, LA 70808-4312 | 2006-02-08 |
| 1750360509 | James Dewey Stephens | Pharmacist | 7357 E Goodall Rd, Durand, MI 48429-9732 | 2006-01-11 |
| Street Address |
128 COURTHOUSE SQ |
| City | MONTICELLO |
| State | MS |
| Zip Code | 39654-6014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275073512 | Hattiesburg Clinic, Pa | Family Medicine | 128 Courthouse Sq, Monticello, MS 39654-6014 | 2017-03-06 |
| 1508022237 | James W Stephens Md Family Medicine Pllc | Clinic/Center | 128 Courthouse Sq, Monticello, MS 39654-6014 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1457862229 | Susan Nevels | Pharmacist | 1509 Highway 84 West, Monticello, MS 39654 | 2017-10-19 |
| 1326565417 | David Warren Ready | Pharmacist | 1509 Hwy 84 West, Monticello, MS 39654 | 2017-08-29 |
| 1861664575 | James Mikel Griffith II | Physical Therapy Assistant | 314 Main St, Ste C, Monticello, MS 39654 | 2008-04-02 |
| 1811169840 | Southwest Mississippi Planning and Development District | Clinic/Center | 1477 Fe Sellers Highway, Monticello, MS 39654 | 2008-03-31 |
| 1447429089 | Foot and Wound Institute of The South | Clinic/Center | 157 Fe Sellers Highway, Monticello, MS 39654 | 2008-02-28 |
| 1346431566 | Amy Eaton Broome | Physical Therapy Assistant | 314 Main St Ste C, Monticello, MS 39654 | 2007-08-05 |
| 1881804532 | Chris Gilbert Boyd | Dentist | 716 Brookhaven Street, Monticello, MS 39654 | 2007-05-23 |
| 1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
| Find all providers in zip 39654 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679914675 | Mitchell Hammel | Family Medicine | 100 W Washington St Ste 101, Monticello, IL 61856-1713 | 2013-07-08 |
| 1700225679 | Michael Ray Nielson | Family Medicine | 380 W. 100 North, Monticello, UT 84535 | 2013-06-24 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| 1053566232 | Monticello Family Medicine & Walk-in Center | Family Medicine | 10 Prince St Ste 7, Monticello, NY 12701-1919 | 2008-12-01 |
| 1548464993 | Fredy H Cordova | Family Medicine | 766 Hl Ross Dr, Monticello, AR 71655 | 2007-06-11 |
| 1629141494 | Bonita C Musial | Family Medicine | 314 Main St., Suite D, Monticello, MS 39654-0949 | 2006-11-17 |
| 1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
| 1790865624 | Christine M Foster | Family Medicine | 1293 N Main St Ste 102, Monticello, KY 42633-1945 | 2006-10-16 |
| 1962598490 | Abraham G. Garfinkel | Family Medicine | 15 Hamilton Ave, Monticello, NY 12701-1319 | 2006-10-04 |
| 1033204110 | River Place Clinic Inc | Family Medicine | 114 West 3rd Street, Monticello, MN 55362 | 2006-10-04 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 39654 |
Please comment or provide details below to improve the information on JAMES WYATT STEPHENS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.