Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Paul M Petty, MD

Individual provider Emergency Medicine Physician · NPI 1932391091

Dr. Paul M Petty, MD is an Emergency Medicine in Jackson, Mississippi. Graduated from Louisiana State University School of Medicine in Shreveport in 2003, 23 years ago. Practices with Monroe Emergency Physicians LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
23
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA, MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1225 N State St
Jackson, MS 39202-2064
Phone: (318) 286-9787
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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 21160 (MS)
Emergency Medicine Physician Taxonomy 207P00000X · Licence N/A (LA)

Record details

NPI number1932391091
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 13, 2007
Last updated in NPPESFebruary 13, 2012
Mailing address4344 Audubon Park Ln, Jackson, MS 39211-6142

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2003 (23 years in practice)
Group practice Monroe Emergency Physicians Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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