Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. James R Nichols III, DO

Individual provider Emergency Medicine Physician · NPI 1104056415

Dr. James R Nichols III, DO is an Emergency Medicine in Jackson, Mississippi. Graduated from Kansas City College of Medicine and Surgery in 2009, 17 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
17
Trained at
Kansas City College of Medicine and Surgery
Licensed in
MS
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 21721 (MS)

Record details

NPI number1104056415
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 21, 2009
Last updated in NPPESMay 12, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesSPORTS MEDICINE
Medical schoolKANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated 2009 (17 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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