Jodi Miller, FNP/AGACNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

MILL-IKRK13 Issued in MS

Practice address

1842 Simpson Highway 149
Mendenhall, MS 39114-3438

Phone

(601) 847-7151

NPI assigned

Jun 18, 2021

Last updated

Aug 27, 2021By the provider in NPPES

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Simpson Community Healthcare, Inc.Group PAC ID 5991709750, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Simpson General Hospital Cah Hospital, Mendenhall, MS, CCN 251317
• Covington County Hospital Cah Hospital, Collins, MS, CCN 251325

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simpson Community Healthcare, Inc.

  dba Simpson General Hospital

  • Critical Access Hospital
  • Mendenhall, MS
  • NPI 1144339839
  Medicare reassignment Care Compare group NPD
• Simpson Community Healthcare Inc.

  dba SGH Drive-Thru Clinic

  • Rural Health Clinic/Center
  • Mendenhall, MS
  • NPI 1619630001
  NPD
• Simpson Community Healthcare, Inc

  dba Harrisville Medical Clinic

  • Rural Health Clinic/Center
  • Florence, MS
  • NPI 1356427843
  NPD (past)
• Simpson Community Healthcare, Inc

  dba Puckett Medical Clinic

  • Rural Health Clinic/Center
  • Brandon, MS
  • NPI 1841450483
  NPD (past)

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

• Covington County Hospital

  • Critical Access Hospital
  • Collins, MS
  • NPI 1215965249
  Care Compare affiliation
• Simpson Community Healthcare, Inc.

  dba Simpson General Hospital

  • Critical Access Hospital
  • Mendenhall, MS
  • NPI 1144339839
  Care Compare affiliation

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1043889611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 SIMPSON HIGHWAY 149",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "391143438",
            "telephone_number": "601-847-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 SIMPSON HIGHWAY 149",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "391143438",
            "telephone_number": "601-847-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JODI",
        "name_prefix": "Mrs.",
        "credential": "FNP/AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "MILL-IKRK13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McGuffee Drugs Inc (McGuffee Drug Inc)
• Sharon McKinnis, CMHT
• McNamed Inc.
• Mendenhall Medical Clinic LLC
• Mendenhall Optometric Eye Clinic, P.a. (Mendenhall Eye Clinic)
• Mississippi Hma DME, LLC (CarePlus Home Medical)
• Mississippi Medical Clinic of Mendehall (Mississippi Medical Clinic Mendenhall)
• Mississippi State Department of Health
• Rogina Catchings Mister, CMHT
• Paul Thomas Munn, NP-C

• Family Nurse Practitioner in Mendenhall, MS
• Providers in Mendenhall, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.