JE SONG, M.D. — NPI 1568509099 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1568509099

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208D00000X (CMS 01)

Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice

Box 32 Service Location & ZIP+4

19424 SAUCIER LIZANA RD, SAUCIER, MS, 39574-9667

✓ 9-Digit EDI 837 ZIP+4 (39574-9667)

Practice Phone & Referral Fax

(228) 206-2681

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1568509099 (JE SONG, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1568509099` (NPI-1 Individual Practitioner)
Provider / Legal Name	JE SONG, M.D.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice NUCC Code: `208D00000X` (General Practice)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	19424 SAUCIER LIZANA RD, SAUCIER, MS, 39574-9667
Practice Telephone / Fax	Tel: (228) 206-2681
Administrative Mailing Address	P.O. BOX 1036, PICAYUNE, MS, 39466-1036
Enumeration & Last Sync	Enumerated: 2007-02-01 \| CMS Record Updated: 2011-01-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

19424 SAUCIER LIZANA RD, SAUCIER, MS, 39574-9667

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Plain-English Taxonomy & CMS Crosswalk (208D00000X)

What Does Taxonomy Code 208D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208D00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 01 (Physician/General Practice) • CMS Code 99 (Physician/Undefined Physician type[6])
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified General Practice for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JE SONG, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207P00000X` — Emergency Medicine Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)	State: MS \| License: `17284` \| Primary: Secondary
`207ZP0105X` — Pathology, Clinical Pathology/Laboratory Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Clinical Pathology — Laboratory Medicine	State: MS \| License: `17284` \| Primary: Secondary
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: MS \| License: `17284` \| Primary: Secondary
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: MS \| License: `17284` \| Primary: Yes (Primary)
`208G00000X` — Thoracic Surgery (Cardiothoracic Vascular Surgery) Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)	State: MS \| License: `17284` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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JE SONG, M.D. (NPI #1568509099)