MARSHALL JAMES STOUT M.D.
NPI 1073555454
Emergency Medicine in Jackson, MS
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
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marshall James Stout M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Marshall Stout reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Collins, MS 39428
- Reassigned Medicare billing, Mississippi enrollment
- 69 clinicians in this Medicare group
Indianola, MS 38751
- Reassigned Medicare billing, Mississippi enrollment
- 89 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Mississippi enrollment
- 116 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Marshall Stout's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marshall Stout reassigns Medicare benefits to 3 organizations: Covington County Hospital (Collins, MS), South Sunflower County Hospital (Indianola, MS) and Correct Care, Inc. (Covington, LA). Each 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 Marshall Stout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marshall Stout was last updated on March 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Marshall James Stout, M.D. · NPI 1073555454
Emergency Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since June 12, 2006.
## Identity
- **NPI:** 1073555454 (Entity type: Individual)
- **Enumerated:** June 12, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 07363 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 969 LAKELAND DR, Jackson, MS 39216-4606
- **Phone:** (601) 200-2000 · **Fax:** (706) 660-1454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Covington County Hospital (NPI 1518260330, Collins, MS); South Sunflower County Hospital (NPI 1245248699, Indianola, MS); Correct Care, Inc. (NPI 1215987441, Covington, LA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2010
- **Other identifiers:** Medicaid 09014778 (MS); Medicare PIN C02387 (MS); Medicare PIN 930264846 (MS); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1073555454) · Data from the CMS NPPES public registry.