Individual provider Active NPI

Megan Jackson Jarancik, FNP-C

  • Family Nurse Practitioner
  • McComb, MS
National Provider Identifier
1225578396
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901916 Issued in MS
Practice address
215 Marion Ave
McComb, MS 39648-2705
Phone
(601) 249-5500
NPI assigned
Mar 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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 901916 MS Primary

Addresses

Primary practice location

215 Marion Ave
McComb, MS 39648-2705

Mailing address

311 Lake Side LN NW
Brookhaven, MS 39601-8498

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
I20170410002367 MS Practitioner - Nurse Practitioner 6406132208 Reassigns benefits to 8 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KDMC Physician Clinics LLC CurrentSince Mar 1, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Nov 1, 2022 Accepting new patients
Natchez HB Medical Services LLC CurrentSince Nov 4, 2023 Accepting new patients
Maxem Health Urgent Care Flowood CurrentSince Nov 22, 2022 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Nov 1, 2022 Accepting new patients
Kings Daughters Medical Center Current Accepting new patients
Relias Emergency Medicine Specialists of McComb, LLC CurrentSince Jan 1, 2020 Accepting new patients
App of Mississippi Ed, LLC CurrentSince Aug 1, 2022 Accepting new patients
King'S Daughters Medical Center CurrentSince Aug 7, 2018 Accepting new patients
Maxem Health Urgent Care McComb CurrentSince Dec 1, 2021 Accepting new patients
King'S Daughters Medical Center CurrentSince Aug 7, 2018 Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

950 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-7973

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

101 Edgewood Dr
McComb, MS 39648
Phone (601) 324-3244

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6393/brand/1/csg/41/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1225578396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LAKE SIDE LN NW",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396018498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482705",
            "telephone_number": "601-249-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARANCIK",
        "first_name": "MEGAN",
        "middle_name": "JACKSON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

Verify at the official NPI Registry.