Susan B Patterson, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R671975 Issued in MS

Practice address

501 Marshall St
Ste 104
Jackson, MS 39202-1651

Phone

(601) 969-6404

Fax

(601) 973-4541

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Foundation of Central Mississippi, Inc.

  dba Baptist Medical Clinics

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1992774814
  Medicare reassignment NPD
• Mississippi Baptist Medical Center, Inc.

  dba MBMC - Neuro Hospitalists

  • Neurology Physician
  • Jackson, MS
  • NPI 1467589556
  Medicare reassignment NPD
• Baptist Jackson Heart Cardiology Clinic-Yazoo City

  • Cardiovascular Disease Physician
  • Jackson, MS
  • NPI 1831462217
  NPD
• Medical Foundation of Central Ms

  dba Baptist Medical Clinic-Brandon

  • Family Medicine Physician
  • Brandon, MS
  • NPI 1114264264
  NPD
• Mississippi Baptist Medical Center, Inc.

  • Community/Retail Pharmacy
  • Jackson, MS
  • NPI 1255882890
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1003835885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LIVINGSTON CV",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "STE 104",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021651",
            "telephone_number": "601-969-6404",
            "fax_number": "601-973-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R671975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Brooke Patterson, CRNA
• Rosanna Roberts Patterson, RPH
• Ruth W Patterson, M.D.
• Shalonda Patterson
• Steven J Patterson, M.D.
• Patton Family Optometry, Inc
• Kenja K Patton
• Khaklia Anghelle Patton, M.S., CCC-SLP
• Samuel William Patton, MD
• Paul Rice, MD PLLC

• Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.