Individual provider Active NPI

Jearica McBride, NP

  • Family Nurse Practitioner
  • Carrollton, MS
National Provider Identifier
1083591465
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907742 Issued in MS
Practice address
7238 County Road 100
Carrollton, MS 38917-7028
Phone
(662) 897-4341
NPI assigned
Aug 19, 2025
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 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 907742 MS Primary

Addresses

Primary practice location

7238 County Road 100
Carrollton, MS 38917-7028

Mailing address

7238 County Road 100
Carrollton, MS 38917-7028
Phone (662) 897-4341

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
I20251117001547 MS Practitioner - Nurse Practitioner 3173014222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care Clinic IncGroup PAC ID 5395656946, shared by 37 NPIs, 30 clinicians
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

123 N Front St
Winona, MS 38967-2239
Phone (601) 825-7280

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907742MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 25, 2025 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 25, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

1400 Highway 72 E
Corinth, MS 38834
Phone (662) 664-5537

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

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

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

Organizations & group practices 4

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": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1083591465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7238 COUNTY ROAD 100",
            "city": "CARROLLTON",
            "state": "MS",
            "postal_code": "389177028",
            "telephone_number": "662-897-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7238 COUNTY ROAD 100",
            "city": "CARROLLTON",
            "state": "MS",
            "postal_code": "389177028",
            "telephone_number": "662-897-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JEARICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, MS

Sources for this page

Verify at the official NPI Registry.