Individual provider Active NPI

Karla Jernigan, FNP

  • Family Nurse Practitioner
  • Brooksville, MS
National Provider Identifier
1114701570
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906220 Issued in MS
Practice address
75 Ms Highway 388
Brooksville, MS 39739-9071
Phone
(662) 738-5454
Fax
(662) 738-5457
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 906220 MS Primary

Addresses

Primary practice location

75 Ms Highway 388
Brooksville, MS 39739-9071

Mailing address

75 Ms Highway 388
Brooksville, MS 39739-9071

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
I20231214002061 MS Practitioner - Nurse Practitioner 3577912658 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
Telehealth
Offers telehealth services
Group practices
First Choice Family Medical Clinic, LLCGroup PAC ID 4284041278, 3 clinicians

Practice addresses (Care Compare)

75 Ms Hwy 388
Brooksville, MS 39739-9071
Phone (662) 738-5454

Hospital & facility affiliations

  • Mississippi Homecare of Eupora Home health agency, Eupora, MS, CCN 257122
  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100
  • Noxubee General Critical Access Hosp Hospital, Macon, MS, CCN 251307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
906220MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Family Medical Clinic, LLC Family CurrentSince Sep 27, 2023 Accepting new patients

Locations

75 MS Highway 388
Brooksville, MS 39739
Phone (662) 738-5454

Interoperability endpoints

  • Direct secure messaging: karla.jernigan@257089341161476.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1114701570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MS HIGHWAY 388",
            "city": "BROOKSVILLE",
            "state": "MS",
            "postal_code": "397399071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MS HIGHWAY 388",
            "city": "BROOKSVILLE",
            "state": "MS",
            "postal_code": "397399071",
            "telephone_number": "662-738-5454",
            "fax_number": "662-738-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "KARLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, MS

Sources for this page

Verify at the official NPI Registry.