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MR. EMMANUEL DELASE AGBETI M.D
NPI 1124815352
Family Medicine in Jackson, MS

Active since April 22, 2025PECOS Enrolled
2500 NORTH STATE STREET, JACKSON, MS 39216(601) 984-5426 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Emmanuel Delase Agbeti M.d NPPES

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

MR. EMMANUEL DELASE AGBETI M.D (NPI 1124815352) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (T-5939) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124815352
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. EMMANUEL DELASE AGBETICredential: M.D
Location Address2500 NORTH STATE STREETJackson, MS 39216
Mailing Address2500 North State StreetJackson, MS 39216
Phone(601) 984-5426
Sole ProprietorNo
Enumeration DateApril 22, 2025
Last NPPES UpdateAugust 14, 2025
✔ NPI 1124815352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · T-5939
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2500 NORTH STATE STREET, Jackson, MS 39216
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Emmanuel Delase Agbeti 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.

MR. BRADFORD STEELE MARTIN FNP-C
Nurse Practitioner
2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS
JACKSON, MS 39216
Hinds County (601) 815-3045
EMILY BRUMFIELD NP
Nurse Practitioner (Critical Care Medicine)
2500 NORTH STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-5500
KIMBERLY C. COVINGTON TARVER MD
Internal Medicine (Geriatric Medicine)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS 39216
Hinds County (601) 984-6426
MR. MARCELO EDUARDO RAINS M.D.
Pediatrics
2500 NORTH STATE STREET, UMMC NEONATOLOGY
JACKSON, MS 39216
Hinds County (601) 984-1000
DR. CELSO E. GOMEZ-SANCHEZ MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5525
MS. CHANDRA ANITA BOSTON C.F.P.M.H.N.P.
Nurse Practitioner (Psychiatric/Mental Health)
2500 NORTH STATE STREET
JACKSON, MS 39216
Hinds County (601) 815-4128
DR. KENNETH R. BENNETT MD
Internal Medicine (Cardiovascular Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5678
DR. GUY DOUGLAS CAMPBELL MD
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216
Hinds County (601) 984-5650

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 Emmanuel Agbeti's NPI number?

The NPI number for Emmanuel Agbeti is 1124815352. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Emmanuel Agbeti located?

Emmanuel Agbeti practices at 2500 North State Street, Jackson, MS 39216. The listed phone number is (601) 984-5426.

What is Emmanuel Agbeti's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Emmanuel Agbeti enrolled in Medicare?

Yes. Emmanuel Agbeti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emmanuel Agbeti was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.