Jamie L Brewer, NP
Individual provider Active NPI Family Nurse Practitioner · Florence, MS
NPI 1154733392 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1154733392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R891185 (MS)
- Practice address
- 2785 Highway 49 S Ste B
Florence, MS 39073-9411 - Phone
- (601) 832-2616
- Fax
- (949) 561-5551
- NPI assigned
- May 22, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Diabetes Care PLLC
Practice addresses (Care Compare)
125 Earl Clark Dr
Florence, MS 39073-9411
Phone (601) 891-8657
Hospital & facility affiliations
- S E Lackey Memorial Hospital
- Magee General Hospital
- St Dominic-Jackson Memorial Hospital
- Mississippi Baptist Medical Center
- Merit Health Women'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 27.85 of 100
- Quality
- 20
- Improvement activities
- 0
- Cost
- 66.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141204000154 | MS | Practitioner - Nurse Practitioner | 9133441041 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R891185 | MS | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diabetes and Endocrine Center of Ms | Endocrinology, Diabetes & Metabolism | Current |
Accepting new patients |
| Southern Diabetes Care, PLLC | Family | Current |
Accepting new patients |
Locations
2785 Highway 49 S
#B
Florence, MS 39073
Phone (601) 832-2616
125 Earl Clark Dr
Florence, MS 39073
Phone (601) 891-8657
505 Airport Rd
Forest, MS 39074
Phone (601) 333-0947
971 Lakeland Dr
Ste 450
Jackson, MS 39216
Phone (601) 326-4255
300 SE 3rd Ave
Magee, MS 39111
Phone (601) 849-5070
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jamie.brewer@direct.decm.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | R891185 | MS | |
| Family Nurse Practitioner | 363LF0000X | R891185 | MS | Yes |
Addresses
Primary practice location
2785 Highway 49 S Ste B
Florence, MS 39073-9411
Mailing address
PO Box 1697
Florence, MS 39073-1697
Phone (601) 891-8657
Other providers in Florence, MS
- B-Tech Inc.
- B-Tech Inc.
- Chris Benton
- Alisha Marie Bonds
- Natalie Havens Bradshaw
- Briar Hill Rest Home, LLC
- Btech Inc
- Katelyn Jo Buckley
- Adam Donothan Byrd
- Thomas Raymond Byrd
All providers in Florence, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.