John Clemmons, PHD
NPI 1104916766ActiveIndividual· Psychologist· Hattiesburg, MS
Psychologist (PHD) with Wesley Physician Services LLC, practicing in Hattiesburg, Mississippi. Medicare paid $20,760 for services to 36 patients in 2024.
Overview
| NPI | 1104916766 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Oct 13, 2006 |
| Last updated in NPPES | Oct 8, 2020 |
| Certified by provider | Oct 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 52911 | MS |
| Psychologist, Clinical | 103TC0700X | 52911 | MS |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 52911 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 208 across 6 procedure codes |
| Paid by Medicare | $20,760 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Wesley Physician Services LLCSumrall, MS · 42 clinicians
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