DR. JONATHAN MICHAEL JOSEPH JR. MD
NPI 1194466474
Student in an Organized Health Care Education/Training Program in Ridgeland, MS

Active since April 02, 2022PECOS Enrolled
124 UMMC WAY, RIDGELAND, MS 39157(601) 984-5160 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jonathan Michael Joseph Jr. Md NPPES

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

DR. JONATHAN MICHAEL JOSEPH JR. MD (NPI 1194466474) is an individual student in an organized health care education/training program in Ridgeland, Mississippi, licensed in Mississippi (37057) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1194466474
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JONATHAN MICHAEL JOSEPH JR.Credential: MD
Location Address124 UMMC WAYRidgeland, MS 39157-1116
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-8017
Sole ProprietorNo
Enumeration DateApril 2, 2022
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1194466474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MS · 37057
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
124 UMMC WAY, Ridgeland, MS 39157

Secondary Practice Location 1

Location 12021 Perdido St Ste 7153New Orleans, LA 70112-1352 · Phone (504) 568-7110 · Fax (504) 568-2170

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jonathan Michael Joseph Jr. Md 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.

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
124 UMMC WAY
RIDGELAND, MS 39157
Clinic/Center (Ambulatory Surgical)
124 UMMC WAY
RIDGELAND, MS 39157

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 Jonathan Joseph's NPI number?

The NPI number for Jonathan Joseph is 1194466474. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Where is Jonathan Joseph located?

Jonathan Joseph practices at 124 Ummc Way, Ridgeland, MS 39157. The listed phone number is (601) 984-5160.

What is Jonathan Joseph's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Joseph enrolled in Medicare?

Yes. Jonathan Joseph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Joseph was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.