JONATHAN EDWARD DISMUKES MD
NPI 1609570449
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since March 27, 2023PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-5601 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Edward Dismukes Md NPPES

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

JONATHAN EDWARD DISMUKES MD (NPI 1609570449) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609570449
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN EDWARD DISMUKESCredential: MD
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address1804 Winnsboro RdBirmingham, AL 35213-1742 · (251) 533-3981
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
NPI 1609570449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
2500 N STATE ST, Jackson, MS 39216

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jonathan Edward Dismukes 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 20

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

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

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 Dismukes's NPI number?

The NPI number for Jonathan Dismukes is 1609570449. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Jonathan Dismukes located?

Jonathan Dismukes practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5601.

What is Jonathan Dismukes'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 Dismukes enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jonathan Dismukes was last updated on March 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.