Individual provider Active NPI

Jennifer Dyanne Peoples, FNP-C

  • Family Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1205305455
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903183 Issued in MS
Practice address
62 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone
(601) 544-4550
NPI assigned
Nov 16, 2018
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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 903183 MS Primary

Addresses

Primary practice location

62 Old Airport Rd
Hattiesburg, MS 39401-8382

Mailing address

PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700

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
I20200917001628 MS Practitioner - Nurse Practitioner 7012335334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, shared by 4 NPIs, 192 clinicians

Practice addresses (Care Compare)

451 Hwy 90
Waveland, MS 39576-2507
Phone (931) 253-1110

50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884

517 City Ave S
Ripley, MS 38663-2517
Phone (662) 587-8206

598 W 11TH Ave
Lumberton, MS 39455-2350
Phone (601) 796-4215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903183MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Mississippi Rural Health Initiative, Inc. CurrentSince Nov 7, 2025 Accepting new patients
Sumrall Family Health Center Current Accepting new patients
Hattiesburg Community Dental Center CurrentSince Nov 7, 2025 Accepting new patients
Premier Women's Health, PLLC CurrentSince Jun 10, 2020 Accepting new patients
Southeast Mississippi Rural Health Initiative, Inc. Past Accepting new patients
Memorial Hospital at Gulfport PastSince Oct 1, 2019 Accepting new patients

Locations

44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188

14231 Seaway Rd
Ste 3004
Gulfport, MS 39503
Phone (228) 206-1905

62 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-4550

66 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-7500

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1205305455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031729",
            "telephone_number": "601-545-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 OLD AIRPORT RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394018382",
            "telephone_number": "601-544-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEOPLES",
        "first_name": "JENNIFER",
        "middle_name": "DYANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.