Active NPI
Jesse James Parker, FNP-C
- Family Nurse Practitioner
- Columbus, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 879392
- Practice address
- 2520 5TH St N
Columbus, MS 39705-2008 - Phone
- (662) 244-1000
- NPI assigned
- Jun 10, 2021
- Last updated
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 879392 | MS | Primary |
Addresses
Primary practice location
2520 5TH St N
Columbus, MS 39705-2008
Mailing address
20010 US Highway 82
Maben, MS 39750-9202
Phone (662) 414-6842
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
Enrollment records 1
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)
78 Hospital Rd
Macon, MS 39341-2490
Phone (662) 726-4231
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 879392 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noxubee General Critical Access Hospital | Current | Accepting new patients | |
| Tallahatchie General Hospital | Current | Accepting new patients | |
| Noxubee General Critical Access Hospital | Current | Accepting new patients | |
| Choctaw Regional Medical Center | Current | Accepting new patients | |
| Tallahatchie General Hospital | Current | Accepting new patients | |
| United Emergency Services of Mississippi | Current | Accepting new patients |
Locations
8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400
2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000
1301 Sunset Dr
Ste E
Grenada, MS 38901
Phone (662) 229-0069
78 Hospital Rd
Macon, MS 39341
Phone (662) 726-4231
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Macon, MS
- NPI 1477793305
-
- Critical Access Hospital
- Charleston, MS
- NPI 1679733497
-
- Emergency Medicine Physician
- Columbus, MS
- NPI 1801983309
-
dba Choctaw Medical Clinic of Ackerman
- Family Medicine Physician
- Ackerman, MS
- NPI 1235547878
-
dba Louisville Medical Clinic
- Rural Health Clinic/Center
- Louisville, MS
- NPI 1538555347
-
dba Macon Primary Pharmacy
- Community/Retail Pharmacy
- Macon, MS
- NPI 1134616113
-
- Diagnostic Radiology Physician
- Charleston, MS
- NPI 1215267232
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Macon, MS
- NPI 1902844194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1124695739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20010 US HIGHWAY 82",
"city": "MABEN",
"state": "MS",
"postal_code": "397509202",
"telephone_number": "662-414-6842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052008",
"telephone_number": "662-244-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JESSE",
"middle_name": "JAMES",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "879392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.