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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN PATTERSON DDS
NPI 1710921135
Dentist - General Practice in Jackson, MS

Active since June 15, 2006PECOS Enrolled
3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321(601) 364-2600 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. John Patterson Dds NPPES

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

DR. JOHN PATTERSON DDS (NPI 1710921135) is an individual general practice provider in Jackson, Mississippi, licensed in Mississippi (2030-83) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710921135
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN PATTERSONCredential: DDS
Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454
Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 362-5321 · Fax (601) 364-2600
Phone(601) 362-5321
Fax(601) 364-2600
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1710921135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 2030-83
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 2030-83 (MS)
3502 W NORTHSIDE DR, Jackson, MS 39213
Open in Google Maps ↗

Other Identifiers 1

Medicaid00060027MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Patterson Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show John Patterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Mississippi Civic Improvement Association, Inc
Same address
Federally Qualified Health Center (FQHC)
3502 W NORTHSIDE DR
Jackson, MS 39213
  • Reassigned Medicare billing, Mississippi enrollment
  • 69 clinicians in this Medicare group
NPI 1134151442 (601) 362-5321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39213 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
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. TIFFANI RICCHELE MCKNIGHT
Social Worker (Clinical)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
KATRICE PACLEY ANDREWS FNP-C
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
ERICIA LATRICE CANNON NURSE PRACTITONER
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
JEQUETTA SHUREKA ILION MCLAURIN FNP
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Clinic/Center (Physical Therapy)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CHAD ALLEN RHODEN MD
Family Medicine
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
ANNIE MCCLINE
Dental Hygienist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CANDICE COLEMAN NP-C
Nurse Practitioner (Adult Health)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321

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 John Patterson's NPI number?

The NPI number for John Patterson is 1710921135. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is John Patterson located?

John Patterson practices at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 362-5321.

What is John Patterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Patterson enrolled in Medicare?

Yes. John Patterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Patterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Patterson reassigns Medicare benefits to Central Mississippi Civic Improvement Association, Inc (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Patterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Patterson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 12 other insurers list John Patterson 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.

When was this NPI record last updated?

The NPPES record for John Patterson was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.