Individual provider Active NPI

Cassi Carter, RN, FNP-C

  • Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1013580505
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
904769 Issued in MS
Practice address
1850 Chadwick Dr
Jackson, MS 39204-3404
Phone
(601) 376-2945
NPI assigned
Jul 21, 2021
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904769 MS Primary

Addresses

Primary practice location

1850 Chadwick Dr
Jackson, MS 39204-3404

Mailing address

217 Wilkins Chapel Rd
Duck Hill, MS 38925-9715
Phone (662) 473-6011

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210923001880 MS Practitioner - Nurse Practitioner 9931506573 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapid Track Urgent Care, LLCGroup PAC ID 8820431943, 9 clinicians
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

1201 Sunset Dr
Grenada, MS 38901-4063
Phone (662) 222-1070

700 Sunset Dr
Grenada, MS 38901-4091
Phone (662) 307-2884

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Track Urgent Care LLC CurrentSince Aug 15, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince Jun 1, 2022 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 15, 2025 Accepting new patients
Webster Urgent Care LLC Current Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Webster Urgent Care LLC CurrentSince Apr 20, 2024 Accepting new patients

Locations

1201 Sunset Dr
Grenada, MS 38901
Phone (662) 222-1070

700 Sunset Dr
Grenada, MS 38901
Phone (662) 307-2884

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

902 E Madison St
Houston, MS 38851
Phone (662) 567-5084

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

5713 Highway 45 Alt S
West Point, MS 39773
Phone (662) 854-9012

Organizations & group practices 7

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1013580505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WILKINS CHAPEL RD",
            "city": "DUCK HILL",
            "state": "MS",
            "postal_code": "389259715",
            "telephone_number": "662-473-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043404",
            "telephone_number": "601-376-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CASSI",
        "name_prefix": "Miss",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.