Individual provider Active NPI

Christa Jones, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1215416250
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
902830 Issued in MS
Practice address
150 Jefferson Davis Blvd
Natchez, MS 39120-5107
Phone
(601) 446-6634
Fax
(601) 446-6898
NPI assigned
Aug 10, 2018
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 902830 MS Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R857803 MS

Addresses

Primary practice location

150 Jefferson Davis Blvd
Natchez, MS 39120-5107

Mailing address

150 Jefferson Davis Blvd
Natchez, MS 39120-5107
Phone (601) 446-6634

Other practice location 1

1701 White St
McComb, MS 39648-2711
Phone (601) 249-4218

Other practice location 2

215 Katherine Dr Ste A
Flowood, MS 39232-9588
Phone (601) 665-4162

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
I20181213000180 MS Practitioner - Nurse Practitioner 5991040321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Warren Yazoo Mental Health ServiceGroup PAC ID 2365418167, 10 clinicians

Practice addresses (Care Compare)

300 Rawls Dr
Suite 900
McComb, MS 39648-2864
Phone (601) 684-8284

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902830MSMDPsychiatric/Mental Health Nurse Practitioner
R857803MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Yazoo Mental Health Service CurrentSince Nov 1, 2023 Accepting new patients
Serenity Psychiatric Outpatient, LLC CurrentSince Jun 18, 2021 Accepting new patients
Serenity Psychiatric Outpatient, LLC CurrentSince Jun 18, 2021 Accepting new patients
Southwest Mississippi Mental Health Mental Retardation Commission PastSince Aug 9, 2018 Accepting new patients

Locations

300 Rawls Dr
Ste 900
McComb, MS 39648
Phone (601) 684-8284

415 Marion Ave
McComb, MS 39648
Phone (601) 584-8700

3444 Wisconsin Ave
Vicksburg, MS 39180
Phone (601) 638-0031

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.

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1215416250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 JEFFERSON DAVIS BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205107",
            "telephone_number": "601-446-6634",
            "fax_number": "601-446-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JEFFERSON DAVIS BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205107",
            "telephone_number": "601-446-6634",
            "fax_number": "601-446-6898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 White St",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482711",
            "country_code": "US",
            "telephone_number": "601-249-4218",
            "fax_number": "601-249-4234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Katherine Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329588",
            "country_code": "US",
            "telephone_number": "601-665-4162",
            "fax_number": "855-830-3484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHRISTA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "902830",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R857803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.