DR. BILLY WAYNE JR. JEFFERSON (DO) – Emergency Medicine Physician, NPI 1407423809
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
590 EMERGENCY MEDICINE in MS
Provider Addresses for DR. BILLY WAYNE JR. JEFFERSON (DO)
53 SWEET MAPLE TRL
PETAL, MS 394655003
Phone: (601) 441-2975
Type: Mailing
6051 U S HIGHWAY 49
HATTIESBURG, MS 394017200
Phone: (601) 441-2975
Type: Location
1501 Kings Hwy
Shreveport, LA 711034228
Phone: (318) 626-1036
Type: Location
1501 KINGS HWY
SHREVEPORT, LA 711034228
Phone: (318) 626-1036
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($61).
Total Amount
$61
General + Research + Ownership
Payments
4
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $61 |
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: 2024-03-06
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231018003992 | I | Emergency Medicine | LA | TBD |
| I20240306001433 | I | Emergency Medicine | MS | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 39465)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | FL | |
| Emergency Medicine | OH | |
| - | MS | |
| Nurse Practitioner | MS | |
| Family Practice, Emergency Medicine | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | SD | |
| Emergency Medicine | MS | |
| Emergency Medicine | MS | |
| Nurse Practitioner | MS |
Reviews
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