JAMES W STEPHENS MD FAMILY MEDICINE PLLC (NPI# 1508022237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508022237 |
Entity Type | Organization |
Organization Name | JAMES W STEPHENS MD FAMILY MEDICINE PLLC |
Practice Address |
128 Courthouse Sq Monticello MS 39654-6014 |
Practice Telephone | 6015870209 |
Practice Fax Number | 6015870436 |
Mailing Telephone | 6015870209 |
Mailing Fax Number | 6015870436 |
Enumeration Date | 2008-08-01 |
Last Update Date | 2008-12-30 |
Authorized Official Name | DR. JAMES W STEPHENS (OWNER / OPERATOR) |
Authorized Official Telephone | 6015870209 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
20322 | MS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | DR'S INDIVIDUAL NPI | 1326248774 | 01 |
MS | PTAN | 512G700335 | 01 |
Street Address |
128 COURTHOUSE SQ |
City | MONTICELLO |
State | MS |
Zip Code | 39654-6014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326248774 | James Wyatt Stephens | Family Medicine | 128 Courthouse Sq, Monticello, MS 39654-6014 | 2007-07-24 |
1275073512 | Hattiesburg Clinic, Pa | Family Medicine | 128 Courthouse Sq, Monticello, MS 39654-6014 | 2017-03-06 |
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 | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1407133051 | Barker Family Chiropractic, Pa | Clinic/Center | 530 Walnut St, Monticello, MN 55362-8663 | 2011-11-10 |
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1710545488 | Primary and Behavioral Healthcare Services, Pa | Clinic/Center | 717 E. Fortification St., Jackson, MS 39202-2402 | 2019-05-29 |
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1124505912 | Thaxton Family Medical Clinic LLC | Clinic/Center | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2018-07-24 |
1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
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Find all providers with the same taxonomy |
City | MONTICELLO |
Zip Code | 39654 |
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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.