Individual provider Active NPI

Jamie Renee Rawson

  • Family Nurse Practitioner
  • Morton, MS
National Provider Identifier
1124662309
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904881 Issued in MS
Practice address
321 Old Hwy 13 S
Morton, MS 39117
Phone
(601) 732-8612
Fax
(601) 732-8408
NPI assigned
Oct 31, 2019
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 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 904881 MS Primary

Addresses

Primary practice location

321 Old Hwy 13 S
Morton, MS 39117

Mailing address

321 Old Hwy 13 S
Morton, MS 39117
Phone (601) 732-8612

Other names 1

  • Mrs. Jamie Renee Rawson Professional name

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
I20211030000074 MS Practitioner - Nurse Practitioner 9537557152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

347 S 4TH St
Morton, MS 39117-3407
Phone (601) 732-1524

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904881MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Healthcare Management, Inc. CurrentSince Nov 17, 2023 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Nov 17, 2023 Accepting new patients
Sta-Home Health Agency of Carthage, Inc PastSince Nov 1, 2019 Accepting new patients

Locations

330 N Broad St
Forest, MS 39074
Phone (601) 469-4151

330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151

347 S Fourth St
Morton, MS 39117
Phone (601) 732-1524

Interoperability endpoints

  • Direct secure messaging: jamie.rawson@phspch.eclinicaldirectplus.com

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.

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": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1124662309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 OLD HWY 13 S",
            "city": "MORTON",
            "state": "MS",
            "postal_code": "39117",
            "telephone_number": "601-732-8612",
            "fax_number": "601-732-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 OLD HWY 13 S",
            "city": "MORTON",
            "state": "MS",
            "postal_code": "39117",
            "telephone_number": "601-732-8612",
            "fax_number": "601-732-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWSON",
        "first_name": "JAMIE",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "RAWSON",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Morton, MS

Sources for this page

Verify at the official NPI Registry.