JAMES R MEDLIN MD
NPI 1164539599
Family Medicine in Macon, MS

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
606 N JEFFERSON ST, MACON, MS 39341(662) 726-4231(662) 726-4204 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James R Medlin Md NPPES

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

JAMES R MEDLIN MD (NPI 1164539599) is an individual family medicine provider in Macon, Mississippi, licensed in Mississippi (06439) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Bmh-golden Triangle, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1164539599
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES R MEDLINCredential: MD
Location Address606 N JEFFERSON STMacon, MS 39341-2242
Mailing AddressPo Box 480Macon, MS 39341-0480 · (662) 726-4231 · Fax (662) 726-4204
Fax(662) 726-4204
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateAugust 23, 2006
Last NPPES UpdateSeptember 14, 2012
NPI 1164539599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 06439
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.
606 N JEFFERSON ST, Macon, MS 39341

Other Identifiers 3

Medicare UPINB64760
Medicaid00014090MS
Medicare ID-Type Unspecified010000451MS

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

James R Medlin Md 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 ID244426146
PECOS Enrollment IDI20101117001458
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 6

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
52 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services16 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
18 services17 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Bmh-Golden Triangle

Acute Care Hospitals · Columbus, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250100
Location2520 5th Street NColumbus, MS 39705 · Lowndes County
Emergency services Birthing friendly

Noxubee General Critical Access Hosp

Critical Access Hospitals · Macon, MS
OwnershipGovernment - State
CMS Certification Number251307
Location78 Hospital RoadMacon, MS 39341 · Noxubee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39341 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers17 claims76 services$6.29 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$21.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$119.17 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$28.59 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier14 claims14 services$26.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
606 N JEFFERSON ST
MACON, MS 39341
Emergency Medicine
606 N JEFFERSON ST
MACON, MS 39341
Nurse Practitioner
606 N JEFFERSON ST
MACON, MS 39341
Nurse Practitioner (Family)
606 N JEFFERSON ST
MACON, MS 39341
Nurse Practitioner (Family)
606 N JEFFERSON ST
MACON, MS 39341
Medicare Defined Swing Bed Unit
606 N JEFFERSON ST
MACON, MS 39341

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 James Medlin's NPI number?

The NPI number for James Medlin is 1164539599. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is James Medlin located?

James Medlin practices at 606 N Jefferson St, Macon, MS 39341. The listed phone number is (662) 726-4231.

What is James Medlin's specialty?

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

Is James Medlin enrolled in Medicare?

Yes. James Medlin 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 James Medlin 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 1 other insurer list James Medlin 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.

Is James Medlin affiliated with any hospitals?

According to CMS data, James Medlin is affiliated with Bmh-Golden Triangle and Noxubee General Critical Access Hosp.

When was this NPI record last updated?

The NPPES record for James Medlin was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.