Individual provider Active NPI

John Farr, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1114379427
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
901605 Issued in MS
Practice address
3450 Highway 80 W
Jackson, MS 39209-7201
Phone
(601) 321-2497
Fax
(601) 321-2476
NPI assigned
Jul 11, 2016
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 901605 MS Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 79193 KS

Addresses

Primary practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5815

Other practice location 1

1111 E Spruce St
Garden City, KS 67846-5958
Phone (620) 276-7689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, OK, LA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160816000711 MS Practitioner - Nurse Practitioner 8325332273 Reassigns benefits to 6 organizations
I20230720002155 OK Practitioner - Nurse Practitioner 8325332273 Reassigns benefits to 1 organization
I20260519004679 LA Practitioner - Nurse Practitioner 8325332273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

Practice addresses (Care Compare)

1911 Mission
Vicksburg, MS 39180-3762
Phone (601) 456-2598

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 26, 2018 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 26, 2018 Accepting new patients
Oklahoma Mental Health Council CurrentSince May 21, 2023 Accepting new patients
Uppal Medical Center LLC CurrentSince Feb 1, 2025 Accepting new patients
Minor Med Care, LLC CurrentSince Jan 24, 2026 Accepting new patients

Locations

1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373

215 Katherine Dr
#A
Jackson, MS 39232

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
Rm 2525
Jackson, MS 39216
Phone (601) 984-1530

2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117

4400 N Lincoln Blvd
Oklahoma City, OK 73105

Interoperability endpoints

  • Direct secure messaging: jfarr24505@ummc.direct-ci.com

Organizations & group practices 10

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1114379427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5815",
            "fax_number": "601-984-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 HIGHWAY 80 W",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392097201",
            "telephone_number": "601-321-2497",
            "fax_number": "601-321-2476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465958",
            "country_code": "US",
            "telephone_number": "620-276-7689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARR",
        "first_name": "JOHN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "901605",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "79193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.