JOHN CLEMMONS PHD
NPI 1104916766
Psychologist in Hattiesburg, MS

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
89.76/100
CMS Quality Rating
239 METHODIST BLVD, HATTIESBURG, MS 39402(601) 296-2125(601) 268-8645 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2020, Sep 9, 2020, Nov 14, 2016 (3 updates tracked since 2016).

About John Clemmons Phd NPPES

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

JOHN CLEMMONS PHD (NPI 1104916766) is an individual psychologist in Hattiesburg, Mississippi, licensed in Mississippi (52911) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1104916766
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJOHN CLEMMONSCredential: PHD
Location Address239 METHODIST BLVDHattiesburg, MS 39402-1297
Mailing Address239 Methodist BlvdHattiesburg, MS 39402-1297 · (601) 296-2125 · Fax (601) 268-8645
Fax(601) 268-8645
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 13, 2006
Last NPPES UpdateOctober 8, 20203 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
NPI 1104916766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MS · 52911
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 52911 (MS)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 52911 (MS)
239 METHODIST BLVD, Hattiesburg, MS 39402

Other Identifiers 1

Medicaid03051508MS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Clemmons Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709807563
PECOS Enrollment IDI20121106000568
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.

Areas of Expertise CMS Part B claims 2

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
171 services28 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
1%879 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
0%330 patients1/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
239 METHODIST BLVD
HATTIESBURG, MS 39402
Psychiatry & Neurology (Psychiatry)
239 METHODIST BLVD
HATTIESBURG, MS 39402
Psychologist (Clinical)
239 METHODIST BLVD
HATTIESBURG, MS 39402
Social Worker
239 METHODIST BLVD
HATTIESBURG, MS 39402

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 John Clemmons's NPI number?

The NPI number for John Clemmons is 1104916766. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is John Clemmons located?

John Clemmons practices at 239 Methodist Blvd, Hattiesburg, MS 39402. The listed phone number is (601) 296-2125.

What is John Clemmons's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is John Clemmons enrolled in Medicare?

Yes. John Clemmons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Clemmons accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list John Clemmons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Clemmons was last updated on October 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.