MARSHALL JAMES STOUT M.D.
NPI 1073555454
Emergency Medicine in Jackson, MS

Active since June 12, 2006PECOS Enrolled
969 LAKELAND DR, JACKSON, MS 39216(601) 200-2000(706) 660-1454 Get Directions Write a Review

NPPES record last updated: March 10, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marshall James Stout M.d. NPPES

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

MARSHALL JAMES STOUT M.D. (NPI 1073555454) is an individual emergency medicine provider in Jackson, Mississippi, licensed in Mississippi (07363) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073555454
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARSHALL JAMES STOUTCredential: M.D.
Location Address969 LAKELAND DRJackson, MS 39216-4606
Mailing AddressPo Box 22670Jackson, MS 39225-2670 · (800) 749-2940 · Fax (706) 660-1454
Fax(706) 660-1454
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 10, 2010
NPI 1073555454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MS · 07363
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

969 LAKELAND DR, Jackson, MS 39216

Other Identifiers 5

Medicaid09014778MS
Medicare PINC02387MS
Medicare PIN930264846MS
Medicare UPINC48290MS
Medicaid0119630MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marshall James Stout M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
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 20

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

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Radiology (Diagnostic Radiology)
969 LAKELAND DR
JACKSON, MS 39216

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 Marshall Stout's NPI number?

The NPI number for Marshall Stout is 1073555454. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Marshall Stout located?

Marshall Stout practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 200-2000.

What is Marshall Stout's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Marshall Stout enrolled in Medicare?

Yes. Marshall Stout is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marshall Stout was last updated on March 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.