DR. JESSE C ETHRIDGE MD
NPI 1043263841
Obstetrics & Gynecology in Jackson, MS

Q: What is Jesse Ethridge's NPI number?

The NPI number for Jesse Ethridge is 1043263841. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Jesse Ethridge's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Ethridge was last updated on November 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 19, 2006PECOS Enrolled

501 MARSHALL STREET, SUITE 400, JACKSON, MS 39202(601) 354-0869(601) 352-6521 Get Directions Write a Review

NPPES record last updated: November 19, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Jesse C Ethridge Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSE C ETHRIDGE MD (NPI 1043263841) is an individual obstetrics & gynecology provider in Jackson, Mississippi, licensed in Mississippi (12438) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of University Of Mississippi School Of Medicine (1984).

NPPES Registry Identity

NPI1043263841

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. JESSE C ETHRIDGECredential: MD

Location Address501 MARSHALL STREET, SUITE 400Jackson, MS 39202-1687

Mailing Address501 Marshall Street, Suite 400Jackson, MS 39202-1687 · (601) 354-0869 · Fax (601) 352-6521

Phone(601) 354-0869

Fax(601) 352-6521

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1984

Enumeration DateMay 19, 2006

Last NPPES UpdateNovember 19, 2011

✔ NPI 1043263841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MS · 12438

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

501 MARSHALL STREET, Jackson, MS 39202

Open in Google Maps ↗

Other Identifiers 3

Medicaid0011229MS

Medicare ID-Type Unspecified160000399

Medicare UPINC61332

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jesse C Ethridge Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789873209

PECOS Enrollment IDI20110113000685

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jesse Ethridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Mississippi - University Of Mississippi Medical Center

0.9 mi

General Acute Care Hospital

2500 N STATE ST
Jackson, MS 39216

Reassigned Medicare billing, Mississippi enrollment
1,932 clinicians in this Medicare group

NPI 1154317527 (601) 984-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

286 services286 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

281 services281 patients

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328

A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.

225 services225 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

170 services161 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

152 services152 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

135 services122 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

110 services110 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

59 services59 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

53 services47 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

37 services35 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

34 services33 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

31 services28 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

19 services17 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

18 services18 patients

Detection test for candida species (yeast), direct probe technique 87480

The detection test for Candida species uses a direct probe technique. This is a lab test where a sample is taken from your body, typically from the mouth or skin. The sample is then examined under a microscope to identify the presence of Candida, a type of yeast that can cause infection.

14 services13 patients

Detection test for gardnerella vaginalis (bacteria), direct probe technique 87510

This test helps find a certain type of bacteria called Gardnerella vaginalis. The direct probe technique uses a small sample from your body. This sample is then examined in a lab to see if this bacteria is present. This helps in identifying and treating any related health issues.

14 services13 patients

Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique 87660

This test helps identify a common microscopic organism that can cause discomfort. It uses a direct probe technique, which involves analyzing a small sample from your body. The test detects the organism's unique genetic material (nucleic acid), confirming its presence.

14 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

13 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250102

Location1225 N State StJackson, MS 39202 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES HOLT CREWS MD

Obstetrics & Gynecology

501 MARSHALL STREET, SUITE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

DR. JOHN R WOOLEY MD

Obstetrics & Gynecology

501 MARSHALL STREET, SUITE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

WOMEN'S SPECIALTY CENTER, LLC

Obstetrics & Gynecology (Gynecology)

501 MARSHALL STREET, SUITE 600
JACKSON, MS 39202

Hinds County (601) 948-6540

VINOD K ANAND

Otolaryngology

501 MARSHALL STREET, SUITE 602
JACKSON, MS 39202

Hinds County (601) 969-1910

ANNA D WALLEY FNP

Nurse Practitioner (Family)

501 MARSHALL STREET, SUITE 200
JACKSON, MS 39202

Hinds County (601) 914-9503

DR. LELAND D GEBHART III MD

Obstetrics & Gynecology

501 MARSHALL STREET, SUITE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

EMILY B TILLMAN RD

Dietitian, Registered

501 MARSHALL STREET, SUITE 400
JACKSON, MS 39202

Hinds County (601) 354-0869

DR. VINOD KUMAR ANAND MD

Otolaryngology

501 MARSHALL STREET, SUITE # 602
JACKSON, MS 39202

Hinds County (601) 969-1910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Ethridge's NPI number?

The NPI number for Jesse Ethridge is 1043263841. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Jesse Ethridge located?

Jesse Ethridge practices at 501 Marshall Street Suite 400, Jackson, MS 39202. The listed phone number is (601) 354-0869.

What is Jesse Ethridge's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jesse Ethridge enrolled in Medicare?

Yes. Jesse Ethridge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jesse Ethridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Ethridge reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse Ethridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jesse Ethridge affiliated with any hospitals?

According to CMS data, Jesse Ethridge is affiliated with Mississippi Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Jesse Ethridge was last updated on November 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.