DR. JON STEPHEN ASHLEY (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1104900968

DR. JON STEPHEN ASHLEY (MD) is a healthcare provider. based in Greenwood, Mississippi. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 12084 (MS). The NPI Number for DR. JON STEPHEN ASHLEY (MD) is 1104900968

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. JON STEPHEN ASHLEY (MD)
NPI
1104900968
Phone
(662) 459-2613
Address
PO BOX 1410
Enumeration Date
25 October 2006
Last Update Date
23 February 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6628341321
Graduation Year
1983 (43 years ago)
PAC ID
0840482782
Group Practice PAC ID
2163854225
Professional Enrollment ID
I20101011000135
Address ID
MS390955167LE239XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

587 EMERGENCY MEDICINE in MS

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Provider Addresses for DR. JON STEPHEN ASHLEY (MD)

  • 1410, Sacramento Street, Greenwood Manor, Upper Marlboro, Prince George's County, Maryland, 20774, United States

    GREENWOOD, MS 389351410

    Phone: (662) 459-2613

    Fax: (662) 459-1159

    Type: Mailing

  • Greenwood-Leflore Hospital, 1401, River Road, Greenwood, Leflore County, Mississippi, 38930, United States

    GREENWOOD, MS 389304030

    Phone: (662) 459-2613

    Fax: (662) 459-1159

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101011000135IEmergency MedicineMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making259235$0
99284Emergency department visit with moderate level of medical decision making162153$0
99291Critical care, first 30-74 minutes4948$0
View full utilization report →

Insurance plans in this area (ZIP 38935)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163854225View full group profile
NameSpecialtyState
Nurse PractitionerMS
Internal MedicineMS
Nurse PractitionerNC
Nurse PractitionerMS
-MS
Hospitalist, Family Practice, Internal Medicine, Family PracticeWI
Nurse PractitionerFL
Nurse PractitionerMS
Emergency MedicineMS
Nurse PractitionerTN

Reviews

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Frequently asked questions

Is there an official ID for DR. JON STEPHEN ASHLEY (MD) in U.S. healthcare records?
The official identifier for DR. JON STEPHEN ASHLEY (MD) is NPI 1104900968.
Is DR. JON STEPHEN ASHLEY (MD) shown as active in public data?
Registry records indicate DR. JON STEPHEN ASHLEY (MD) maintains an active NPI.
How would a patient describe DR. JON STEPHEN ASHLEY (MD)'s focus?
For DR. JON STEPHEN ASHLEY (MD), the primary taxonomy reads as Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is DR. JON STEPHEN ASHLEY (MD) located near Greenwood?
DR. JON STEPHEN ASHLEY (MD) currently maps to Greenwood, Mississippi in this extract.
Does DR. JON STEPHEN ASHLEY (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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