Individual provider Active NPI

Melissa Yvonne White, NP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1033643432
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902024 Issued in MS
Practice address
805 E River PL
Jackson, MS 39202-3486
Phone
(601) 500-7660
Fax
(769) 243-7946
NPI assigned
Apr 12, 2017
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902024 MS Primary

Addresses

Primary practice location

805 E River PL
Jackson, MS 39202-3486

Mailing address

805 E River PL
Jackson, MS 39202-3486
Phone (601) 500-7660

Other practice location 1

102 Lexington Dr Ste 100
Madison, MS 39110-6952
Phone (601) 973-1688

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
I20170816002914 MS Practitioner - Nurse Practitioner 7618246752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Brother's Keeper IncGroup PAC ID 4082859004, 2 clinicians

Practice addresses (Care Compare)

106 Clinton Pkwy
Clinton, MS 39056-4730
Phone (601) 924-9005

108 Clinton Pkwy
Clinton, MS 39056-4730
Phone (601) 926-2018

1200 N State St
Jackson, MS 39202-2000

1200 N State St
Jackson, MS 39202-2027

1201 Hwy 49 S
Suite 1
Richland, MS 39218-9438
Phone (601) 973-1576

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

2173 Main St
Madison, MS 39110-6309
Phone (601) 605-3858

805 E River PL
Suite M
Jackson, MS 39202-3486
Phone (601) 500-7660

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Ms CurrentSince Nov 1, 2021 Accepting new patients
My Brother's Keeper, Inc CurrentSince Feb 13, 2024 Accepting new patients
My Brother's Keeper, Inc CurrentSince Feb 13, 2024 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Mallory Community Health Past Accepting new patients

Locations

102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

805 E River Pl
Jackson, MS 39202
Phone (601) 364-2600

805 E River Pl
Ste M
Jackson, MS 39202
Phone (601) 500-7660

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

Interoperability endpoints

  • Direct secure messaging: melissa.white.1@20190.direct.athenahealth.com
  • Direct secure messaging: mwhite472367@direct.bmhcc.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1033643432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E RIVER PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023486",
            "telephone_number": "601-500-7660",
            "fax_number": "769-243-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E RIVER PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023486",
            "telephone_number": "601-500-7660",
            "fax_number": "769-243-7946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Lexington Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106952",
            "country_code": "US",
            "telephone_number": "601-973-1688",
            "fax_number": "601-973-1690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MELISSA",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.