Individual
DR. JAY PAUL MCDONALD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7900 AIRWAYS BLVD STE 2, SOUTHAVEN, MS 38671-4113
(662) 404-8630
Mailing address
PO BOX 649113, DALLAS, TX 75264-9113
(855) 343-5763
(855) 343-5763
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23317
MS
207L00000X
Anesthesiology Physician
56365
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
23317
MS
208VP0014X
Interventional Pain Medicine Physician
23317
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01522869
—
MS
05
—
100181198
—
MS
05
—
Q031256
—
TN
Enumeration date
07/06/2010
Last updated
06/25/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us