Doctor profile · Federal record
Dr. Jerry Stork, P.A.
Physician Assistant · Medical Physician Assistant · Hattiesburg, MS
- NPI 1467479550
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3688 Veterans Memorial Dr, 200
Hattiesburg, MS 394018246
(601) 554-7402
fax (601) 554-7488
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- October 19, 2021
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Mississippi #PA00079 · Florida #PA9103513
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467479550. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$29
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 1 | $15.49 | |
| Abbvie INC. | 1 | $13.62 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
157
Patients
156
Total drug cost
$780
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 68 | 68 | $190 |
| Doxycycline Hyclate | Generic | 22 | 21 | $231 |
| Cephalexin | Generic | 17 | 17 | $121 |
| Methocarbamol | Generic | 13 | 13 | $38 |
| Naproxen | Generic | 13 | 13 | $38 |
| Clindamycin Hcl | Generic | 12 | 12 | $119 |
| Ondansetron Hcl | Generic | 12 | 12 | $44 |
Frequently asked questions
What is Dr. Jerry Stork's medical specialty?
Dr. Jerry Stork practices Physician Assistant in Hattiesburg, MS.
Where does Dr. Jerry Stork practice?
Dr. Jerry Stork practices at 3688 Veterans Memorial Dr, Hattiesburg, MS 394018246. Office phone: 6015547402.
What is Dr. Jerry Stork's NPI?
Dr. Jerry Stork's National Provider Identifier (NPI) is 1467479550, issued by NPPES.