Individual provider Active NPI

Jayla Collins, FNP- BC

  • Family Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1235025669
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907432 Issued in MS
Practice address
1651 W Government CV # a
Brandon, MS 39042-2410
Phone
(601) 487-4340
NPI assigned
Jun 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 907432 MS Primary

Addresses

Primary practice location

1651 W Government CV # a
Brandon, MS 39042-2410

Mailing address

1651 W Government CV # a
Brandon, MS 39042-2410

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
I20251228000014 MS Practitioner - Nurse Practitioner 2769978857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1107 Highland Colony Pkwy
Suite 219
Ridgeland, MS 39157-8707

PO Box
Suite 28440
Belfast, ME 04915-2036

PO Box
Suite 28440
Belfast, ME 04915-4499

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907432MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gluckstadt TC Kids, LLC CurrentSince Nov 25, 2025 Accepting new patients

Locations

1651 W Government Cv
Brandon, MS 39042
Phone (601) 487-4340

101 Lexington Dr
Ste A
Gluckstadt, MS 39110
Phone (601) 427-5657

1073 Highway 51
Ste 101
Madison, MS 39110
Phone (601) 499-1840

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19538/brand/2/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19538/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1235025669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 W GOVERNMENT CV # A",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 W GOVERNMENT CV # A",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422410",
            "telephone_number": "601-487-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JAYLA",
        "credential": "FNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.