Active NPI
John Farr, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 901605
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Oklahoma Mental Health Council | Current | Accepting new patients | |
| Uppal Medical Center LLC | Current | Accepting new patients | |
| Minor Med Care, LLC | Current | 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
- 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.
-
dba Complete Care Rural Health Clinic
- Rural Health Clinic/Center
- Vicksburg, MS
- NPI 1669835310
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Rural Health Clinic/Center
- Greenville, MS
- NPI 1558927905
-
dba Red Rock Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oklahoma City, OK
- NPI 1275574907
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MS
- NPI 1205853652
-
- Psychiatry Physician
- Jackson, MS
- NPI 1548474042
-
- Primary Care Clinic/Center
- Jackson, MS
- NPI 1407968738
-
dba Mansura Family Clinic
- Rural Health Clinic/Center
- Mansura, LA
- NPI 1811065220
-
- Rural Health Clinic/Center
- Raymond, MS
- NPI 1669575627
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.