DR. JOHNNY DEE NEELY DMD
NPI 1801965256
Dentist - General Practice in Jackson, MS

Q: What is Johnny Neely's NPI number?

The NPI number for Johnny Neely is 1801965256. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Q: What is Johnny Neely's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Johnny Neely was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 07, 2006PECOS Enrolled

1491 CANTON MART RD, BUILDING A SUITE C, JACKSON, MS 39211(601) 991-0044 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Johnny Dee Neely Dmd NPPES

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

DR. JOHNNY DEE NEELY DMD (NPI 1801965256) is an individual general practice provider in Jackson, Mississippi, licensed in Mississippi (2192-85) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801965256

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHNNY DEE NEELYCredential: DMD

Location Address1491 CANTON MART RD, BUILDING A SUITE CJackson, MS 39211-5411

Mailing Address1491 Canton Mart Rd, Building A Suite CJackson, MS 39211-5411 · (601) 991-0044

Phone(601) 991-0044

Sole ProprietorYes

Enumeration DateNovember 7, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1801965256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 2192-85

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.

1491 CANTON MART RD, 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

✔

Enrolled in Medicare (PECOS)

Dr. Johnny Dee Neely Dmd 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.

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

$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.

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 Johnny Neely's NPI number?

The NPI number for Johnny Neely is 1801965256. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Johnny Neely located?

Johnny Neely practices at 1491 Canton Mart Rd Building A Suite C, Jackson, MS 39211. The listed phone number is (601) 991-0044.

What is Johnny Neely's specialty?

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

Is Johnny Neely enrolled in Medicare?

Yes. Johnny Neely is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnny Neely was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.