Jalisha Brown, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904129 Issued in MS

Practice address

2701 Davis St
Meridian, MS 39301-5708

Phone

(601) 639-0118

NPI assigned

Sep 22, 2020

Sex

Female

Sole proprietor

No

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.

• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Family, MS

  Medicare reassignment Care Compare group NPD
• Ultra Health LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1922469543

  MS

  Medicare reassignment Care Compare group NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  MS

  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  Care Compare group NPD
• Vpa PC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1982224895

  MS

  Medicare reassignment
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Mountain Home, AR
  • NPI 1972262400
  Care Compare group
• Fast Pace Mississippi, PLLC

  • Urgent Care Clinic/Center
  • Greenbriar, AR
  • NPI 1982361259
  Care Compare group
• Greater Meridian Health Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Meridian, MS
  • NPI 1053046201
  NPD
• Greater Meridian Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Meridian, MS
  • NPI 1134225071
  NPD
• Greater Meridian Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Scooba, MS
  • NPI 1962509208
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD

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

• Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Pace Mississippi PLLC 192 clinicians

Ultra Health LLC 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJDBBA
• FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2024.

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1164038444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 BRIARWOOD RD LOT 168",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393059109",
            "telephone_number": "601-938-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DAVIS ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015708",
            "telephone_number": "601-639-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 Edward E Nave Dr",
            "address_purpose": "LOCATION",
            "city": "Scooba",
            "state": "MS",
            "postal_code": "393587478",
            "country_code": "US",
            "telephone_number": "601-476-9595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4728 Highway 39 N",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393011015",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JALISHA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robbi Lea Broadhead, R.N.
• Brock B. Westover DDS
• Bianca La'Shai Brooks-Rascoe, CNA, CMA
• Kevin Alan Broussard, RPH ANP
• Felecia Brown, CNM WHNP-BC
• Jason B Brown, MD
• Jennifer Joy Brown, DO
• Kimberly Kay Brown, MSN, PMHNP-BC
• Leigh Brown
• Nancy Lynn Brown, NP

• All providers in Meridian, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.

Verify at the official NPI Registry.