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DR. MARVIN HOMER JETER JR. M.D.
NPI 1235397423
Internal Medicine in Jackson, MS

Active since May 25, 2008Opted out of Medicare · through Jul 1, 2027
15 NORTHTOWN DR, SUITE G, JACKSON, MS 39211(601) 956-8200(601) 956-8100 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Marvin Homer Jeter Jr. M.d. NPPES

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

DR. MARVIN HOMER JETER JR. M.D. (NPI 1235397423) is an individual internal medicine provider in Jackson, Mississippi, licensed in Mississippi (05361) and active in the NPI registry since May 2008. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235397423
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARVIN HOMER JETER JR.Credential: M.D.
Location Address15 NORTHTOWN DR, SUITE GJackson, MS 39211-3048
Mailing Address15 Northtown Dr, Suite GJackson, MS 39211-3048 · (601) 956-8200 · Fax (601) 956-8100
Phone(601) 956-8200
Fax(601) 956-8100
Sole ProprietorYes
Enumeration DateMay 25, 2008
Last NPPES UpdateAugust 26, 2015
✔ NPI 1235397423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 05361
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15 NORTHTOWN DR, Jackson, MS 39211
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Marvin Homer Jeter Jr. M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39211 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
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.

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 Marvin Jeter's NPI number?

The NPI number for Marvin Jeter is 1235397423. It was assigned to this individual provider in the NPPES registry on May 25, 2008.

Where is Marvin Jeter located?

Marvin Jeter practices at 15 Northtown Dr Suite G, Jackson, MS 39211. The listed phone number is (601) 956-8200.

What is Marvin Jeter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marvin Jeter enrolled in Medicare?

No. Marvin Jeter has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marvin Jeter was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.