Dr James Andrew Jefferson, MD | |
1668 W Peace St, Canton, MS 39046-5332 | |
(601) 859-5213 | |
(601) 859-8771 |
Full Name | Dr James Andrew Jefferson |
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Gender | Male |
Speciality | Family Medicine |
Location | 1668 W Peace St, Canton, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1831147917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11737 (Mississippi) | Primary |
Entity Name | Southwest Mississippi Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245289172 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000089 |
Entity Name | Southwest Mississippi Regional Medical Center |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1932211851 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000285 |
Entity Name | Baptist Medical Center - Yazoo, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619918075 PECOS PAC ID: 5799850376 Enrollment ID: O20080815000433 |
Mailing Address | Practice Location Address |
---|---|
Dr James Andrew Jefferson, MD Po Box 588, Canton, MS 39046-0588 Ph: (601) 859-5213 | Dr James Andrew Jefferson, MD 1668 W Peace St, Canton, MS 39046-5332 Ph: (601) 859-5213 |
Ms. Samantha Smith, AGNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 122 E Academy St, Canton, MS 39046 Phone: 601-859-8992 Fax: 601-859-5573 | |
Dr. Teresa Louise Mcketney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-9477 | |
Keneisha Dean, Family Medicine Medicare: Medicare Enrolled Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 662-859-5213 | |
Allan Percy Durfey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1421 E Peace St, Canton, MS 39046 Phone: 601-855-5131 | |
Dr. Colette Marie Scott, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1668 West Peace Street, Canton, MS 39046 Phone: 662-746-0907 | |
Dr. Lawrence Madison Sutton Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 |