DR. JOHN WADDELL M.D.
NPI 1629430327
Pediatrics - Neonatal-Perinatal Medicine in Jackson, MS

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

Active since March 22, 2016PECOS Enrolled

2500 N STATE ST, NEONATAL PERINATAL FELLOWSHIP, JACKSON, MS 39216(601) 815-8489(601) 984-2086 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 21, 2016, Mar 22, 2016 (2 updates tracked since 2016).

On this page

About Dr. John Waddell M.d. NPPES

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

DR. JOHN WADDELL M.D. (NPI 1629430327) is an individual neonatal-perinatal medicine provider in Jackson, Mississippi, licensed in Mississippi (T-3234) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629430327

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. JOHN WADDELLCredential: M.D.

Location Address2500 N STATE ST, NEONATAL PERINATAL FELLOWSHIPJackson, MS 39216-4500

Mailing Address4034 N State StJackson, MS 39206-5754 · (304) 881-1007

Phone(601) 815-8489

Fax(601) 984-2086

Sole ProprietorYes

Enumeration DateMarch 22, 2016

Last NPPES UpdateJune 27, 20192 updates tracked since enumeration

✔ NPI 1629430327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MS · T-3234

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License T-3234 (MS)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2500 N STATE ST, Jackson, MS 39216

Open in Google Maps ↗

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. John Waddell 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.